DELTA PEDIATRIC CARE is a nursing care and pediatric skilled nursing facility in Greenville, MS. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. DELTA PEDIATRIC CARE NPI is 1437523511. The provider is registered as an organization entity type.
The provider's business location address is:
526 FAIRVIEW AVE
GREENVILLE, MS
ZIP 38701-401
Phone: (662) 580-5074
Fax: (662) 580-5074
The provider's authorized official is Maureen Gallagher .
The authorized official title is Owner and has the following contact phone number (318) 512-9218.
The CLIA number assigned to this NPI record is 25D2103437 - other - prescribed pediatric with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/30/2015 and was last updated on 11/30/2015.