PRESCRIBED PEDIATRIC EXTENDED CARE, INC is a medically fragile infants and children day care clinic center in Tupelo, MS. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). PRESCRIBED PEDIATRIC EXTENDED CARE, INC NPI is 1598123572. The provider is registered as an organization entity type.
The provider Is Doing Business As Pediatric Health Choice.
The provider's business location address is:
611 PEGRAM DR
TUPELO, MS
ZIP 38801-321
Phone: (813) 870-0000
The provider's authorized official is Heidi Tosti .
The authorized official title is Vp Finance and has the following contact phone number (813) 880-0320.
The CLIA number assigned to this NPI record is 25D2092297 - other - ppec with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/4/2016 and was last updated on 4/28/2021.