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
Fax: (601) 833-0430
Website:
Authorized official contact:
Name: Collier, Jamie Latture

Health care specialties

SpecialtyCodeLicense #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 13 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 1174505010 NPPES
Mississippi MEDICAID 00220055

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