Heavenly Palace Adult Center, Inc.
LBN: Heavenly Palace Adult Center, Inc.
Heavenly Palace Adult Center, Inc. is an health care organization with primary practice located at 1654 Highway 1 N , Greenville MS 38701-0000. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty.
Heavenly Palace Adult Center, Inc. can be contacted via phone (662) 378-7262, or through Jackson, Patrick via phone (662) 378-7262.
Contact Information
Primary practice address
1654 Highway 1 N
Greenville MS 38701-0000
Phone: (662) 378-7262
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Managed Care Organizations / Preferred Provider Organization | 305R00000X | 07186736 | Mississippi |
Profile Details
NPI number | 1790954592 |
---|---|
LBN Legal business name | Heavenly Palace Adult Center, Inc. |
DBA Doing business as | |
Authorized official | Jackson, Patrick |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 26th, 2008 |
Last updated | Feb 26th, 2008 - about 16 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 | 1790954592 | NPPES |
Mississippi | MEDICAID | 07186736 |
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