Lincoln Residential Center
LBN: Preferred Care Developmental Centers Of Ms I Inc
Lincoln Residential Center is an health care organization with primary practice located at 524 Brookman Dr , Brookhaven MS 39601-2384. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty.
Preferred Care Developmental Centers Of Ms I Inc can be contacted via phone (601) 835-1884, or through Collier, Jamie Latture via phone (972) 931-3800.
Contact Information
Primary practice address
524 Brookman Dr
Brookhaven MS 39601-2384
Phone: (601) 835-1884
Fax: (601) 833-0430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | 629 | Mississippi |
Profile Details
| NPI number | 1174505010 |
|---|---|
| LBN Legal business name | Preferred Care Developmental Centers Of Ms I Inc |
| DBA Doing business as | Lincoln Residential Center |
| Authorized official | Collier, Jamie Latture |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jun 28th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174505010 | NPPES |
| Mississippi | MEDICAID | 00220055 |
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