NPI 1659353688

Preferred Care Developmental Centers of Ms I INC

Organisation Intellectual Disabilities Intermediate Care Facility Canton, MS

Practice location

Address: 1145 Tisdale Ave, Canton, MS 39046-4965
Phone: (601) 859-6712
Fax: (601) 859-2355
Mailing address: 5420 W Plano Pkwy, Plano, TX 75093-4823

Authorised official

Name: Jamie Latture Collier
Title: Director of Reimbursement
Phone: (972) 931-3800

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 630 (MS)

Other Intermediate Care Facility, Intellectual Disabilities providers in Mississippi →

Registry record

NPI: 1659353688
Entity type: Organization
NPI issued: 16 Nov 2005
Record last updated: 2 Dec 2014

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.