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MAGNOLIA KIDS PEDIATRIC EXTENDED CARE LLC NPI 1932965902


NPI Information

NPI: 1932965902
Provider Name: MAGNOLIA KIDS PEDIATRIC EXTENDED CARE LLC

Doing Business As: MAGNOLIA KIDS PEDIATRIC EXTENDED CARE

Classification: Clinic/Center - 261QM3000X
Entity Type: Organization

Specialization: Medically Fragile Infants and Children Day Care

Address:
166 NAVAJO CIR
CLINTON, MS
ZIP 39056
Phone: (601) 503-3731
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MAGNOLIA KIDS PEDIATRIC EXTENDED CARE LLC is a medically fragile infants and children day care clinic center in Clinton, 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.). MAGNOLIA KIDS PEDIATRIC EXTENDED CARE LLC NPI is 1932965902. The provider is registered as an organization entity type.
The provider Is Doing Business As Magnolia Kids Pediatric Extended Care.

The provider's business location address is:

166 NAVAJO CIR
CLINTON, MS
ZIP 39056-111
Phone: (601) 503-3731

The provider's authorized official is Laura D Turman .
The authorized official title is Co-owner And Director Of Nursing and has the following contact phone number (601) 503-3731.

The enumeration date for this NPI number is 2/26/2024 and was last updated on 3/12/2024.


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
1261QD1600XClinic/CenterDevelopmental DisabilitiesNo
2261QM3000XClinic/CenterMedically Fragile Infants and Children Day CareYes

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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