Fondren Nightingales Senior Day Retreat Co
LBN: Fondren Nightingales Senior Day Retreat Co
Fondren Nightingales Senior Day Retreat Co is an health care organization with primary practice located at 3321 N West St , Jackson MS 39216-3039. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Adult Day Care. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty.
Fondren Nightingales Senior Day Retreat Co can be contacted via phone (601) 398-4485, or through Levy, Gregg via phone (601) 398-4485.
Contact Information
Primary practice address
3321 N West St
Jackson MS 39216-3039
Phone: (601) 398-4485
Fax: (601) 398-1492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | Mississippi |
Profile Details
| NPI number | 1629550363 |
|---|---|
| LBN Legal business name | Fondren Nightingales Senior Day Retreat Co |
| DBA Doing business as | |
| Authorized official | Levy, Gregg Licensed Practical Nurse (LPN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2018 |
| Last updated | Aug 31st, 2021 - about 3 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 | 1629550363 | NPPES |
| Mississippi | MEDICAID | 1053622134 |
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