Kids' Kastle Gluckstadt
NPI #1962041798 in Canton, Mississippi
Provider Information
- NPI Number
- 1962041798
- Entity Type
- Organization
- Organization Name
- Kids' Kastle Gluckstadt
- Primary Specialty
- Skilled Nursing Facility - Nursing Care, Pediatric
- Enumeration Date
- Dec 26, 2019
- Last Updated
- Dec 26, 2019
Practice Location
- Address
- 112 WESTFALEN DRIVE
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046
- Phone
- (601) 499-0167
Authorized Official
- Name
- MRS. JETUWAN M BROWN
- Title
- MANAGING OFFICER
- Phone
- (601) 278-6710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Care |
| Skilled Nursing Facility - Nursing Care, Pediatric — Nursing Care, Pediatric |
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