Full Potential Adult Daycare, Llc

LBN: Full Potential Adult Daycare, Llc
Full Potential Adult Daycare, Llc is an health care organization with primary practice located at 405 Highway 51 S , Batesville MS 38606-2549. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Full Potential Adult Daycare, Llc can be contacted via phone (662) 563-0690, or through Jackson, Tamekia Renix via phone (662) 563-0690.

Contact Information

Primary practice address
405 Highway 51 S Batesville MS 38606-2549
Phone: (662) 563-0690
Fax: (662) 563-7304
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Tamekia Renix
Phone: (662) 563-0690

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1407490816
LBN Legal business name Full Potential Adult Daycare, Llc
DBA Doing business as
Authorized official Jackson, Tamekia Renix
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2019
Last updated Oct 30th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407490816 NPPES
Mississippi MEDICAID 07031582

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