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Organization
JACKSON COUNTY PEDIATRIC EXTENDED CARE LLC
Active
Organization
JACKSON COUNTY PEDIATRIC EXTENDED CARE LLC
Active
Other names
GULF COAST PEDIATRIC CARE PASCAGOULA
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HAMMOND RPH (OWNER/ADMINISTRATOR)
(251) 232-1518
Entity
Organization
Contact information
Practice address
2025 JACKSON AVE, PASCAGOULA, MS 39567-4427
(228) 205-3000
Mailing address
8178 SOLDIER CT, DAPHNE, AL 36526-6135
(251) 232-1518
(228) 206-0704
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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