Organization · Type 2 NPI
Kids' Kastle Gluckstadt
Pediatric Skilled Nursing Facility · Canton, MS
Practice location
112 Westfalen Drive
Canton, MS 39046
Fax (601) 499-0294
Mailing address
115 Aulenbrock Dr Ste A
Canton, MS 39046-7036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Care Agency | 251J00000X | None listed |
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | None listed |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1962041798
Kids' Kastle Gluckstadt's National Provider Identifier is 1962041798, issued on Dec 26, 2019. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Canton, MS. The record was last updated on Dec 26, 2019.