Starkville Pediatric Extended Care LLC

NPI #1780293787 in Starkville, Mississippi

Provider Information

NPI Number: 1780293787
Entity Type: Organization
Organization Name: Starkville Pediatric Extended Care LLC
Primary Specialty: Clinic/Center - Medically Fragile Infants and Children Day Care
Enumeration Date: Jul 26, 2020
Last Updated: Jul 26, 2020

Practice Location

Address: 9771 MS HIGHWAY 25
City: Starkville
State: Mississippi
ZIP Code: 39759-4944
Phone: (251) 232-1518

Authorized Official

Name: MARK HAMMOND
Title: OWNER
Phone: (251) 232-1518

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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