Desoto Pediatric Extended Care Llc

LBN: Desoto Pediatric Extended Care Llc
Desoto Pediatric Extended Care Llc is an health care organization with primary practice located at 750 Stateline Road East , Southhaven MS 38671. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Care, Pediatric, which is considered as the primary health care specialty. Desoto Pediatric Extended Care Llc can be contacted via phone (662) 468-1320, or through Gallagher, Maureen via phone (318) 512-9218.

Contact Information

Primary practice address
750 Stateline Road East Southhaven MS 38671
Phone: (662) 468-1320
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gallagher, Maureen
Phone: (318) 512-9218

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X

Profile Details

NPI number 1538526140
LBN Legal business name Desoto Pediatric Extended Care Llc
DBA Doing business as
Authorized official Gallagher, Maureen
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2016
Last updated Jan 27th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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