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SOUTHWEST DEVELOPMENT CORPORATION INC. NPI 1275768319


NPI Information

NPI: 1275768319
Provider Name: SOUTHWEST DEVELOPMENT CORPORATION, INC.

Doing Business As: MEDGAR EVERS RESPITE CARE

Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
210 GILCHRIST STREET
POST OFFICE BOX 699
FAYETTE, MS
ZIP 39069
Phone: (601) 786-3955
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SOUTHWEST DEVELOPMENT CORPORATION, INC. is a respite care in Fayette, MS. SOUTHWEST DEVELOPMENT CORPORATION, INC. NPI is 1275768319. The provider is registered as an organization entity type.
The provider Is Doing Business As Medgar Evers Respite Care.

The provider's business location address is:

210 GILCHRIST STREET
POST OFFICE BOX 699
FAYETTE, MS
ZIP 39069-699
Phone: (601) 786-3955
Fax: (601) 786-3910

The provider's authorized official is Mary T. Irving .
The authorized official title is Executive Director/administrator and has the following contact phone number (601) 786-3955.

The enumeration date for this NPI number is 5/19/2009 and was last updated on 6/9/2009.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385H00000XRespite Care09056303MISSISSIPPIYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10770119MEDICAIDMISSISSIPPI
2257106MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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