METHODIST HOME ROAD LIVING CENTER NPI 1245663251

NPI Information

METHODIST HOME ROAD LIVING CENTER is a licensed practical nurse in Jackson, MS. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. METHODIST HOME ROAD LIVING CENTER NPI is 1245663251. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4560 METHODIST HOME ROAD
JACKSON, MS
ZIP 39213
Phone: (769) 257-7232
Fax: (769) 257-7745

The provider's authorized official is Pebles Jones-wright .
The authorized official title is Manager/owner and has the following contact phone number (769) 257-7232.

The enumeration date for this NPI number is 8/13/2013 and was last updated on 8/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.