Jackson County Pediatric Extended Care LLC
NPI #1588104814 in Pascagoula, Mississippi
Provider Information
- NPI Number
- 1588104814
- Entity Type
- Organization
- Organization Name
- Jackson County Pediatric Extended Care LLC
- Primary Specialty
- Skilled Nursing Facility - Nursing Care, Pediatric
- Enumeration Date
- Mar 6, 2017
- Last Updated
- Mar 6, 2017
Practice Location
- Address
- 2025 JACKSON AVE
- City
- Pascagoula
- State
- Mississippi
- ZIP Code
- 39567-4427
- Phone
- (228) 205-3000
Authorized Official
- Name
- ASHLEY HAMMOND, RPH
- Title
- OWNER/ADMINISTRATOR
- Phone
- (251) 232-1518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility - Nursing Care, Pediatric — Nursing Care, Pediatric |
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