Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I INC
Active
Organization
PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I INC
Active
Other names
Lincoln Residential Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE LATTURE COLLIER (DIRECTOR OF REIMBURSEMENT)
(972) 931-3800
Entity
Organization
Contact information
Practice address
524 BROOKMAN DR, BROOKHAVEN, MS 39601-2384
(601) 835-1884
(601) 833-0430
Mailing address
5420 W PLANO PKWY, PLANO, TX 75093-4823
(972) 931-3800
(972) 767-6222
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
629
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220055
—
MS
Enumeration date
11/16/2005
Last updated
06/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up