NPI 1225611528
Preferred Php LLC
Practice location
- Address
- 1059 Ridgewood Pl Fl 2, Jackson, MS 39211-2018
- Phone
- (601) 957-3211
- Fax
- (601) 957-9753
- Mailing address
- PO Box 13531, Jackson, MS 39236-3531
Authorised official
- Name
- Krishan K Gupta
- Title
- Ceo
- Phone
- (601) 957-3211
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1225611528
- Entity type
- Organization
- NPI issued
- 4 May 2021
- Record last updated
- 4 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.