Prescribed Pediatric Extended Care, INC

NPI #1598123572 in Tupelo, Mississippi

Provider Information

NPI Number: 1598123572
Entity Type: Organization
Organization Name: Prescribed Pediatric Extended Care, INC
Primary Specialty: Clinic/Center - Medically Fragile Infants and Children Day Care
Enumeration Date: Feb 4, 2016
Last Updated: Apr 28, 2021

Practice Location

Address: 611 PEGRAM DR
City: Tupelo
State: Mississippi
ZIP Code: 38801-6321
Phone: (813) 870-0000

Authorized Official

Name: HEIDI TOSTI
Title: VP FINANCE
Phone: (813) 880-0320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medically Fragile Infants and Children Day Care — Medically Fragile Infants and Children Day Care	261QM3000X	Primary

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