Organization
PDN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONOR LYNN SKRNICH (CLINICAL DIRECTOR)
(228) 604-4550
Entity
Organization
Contact information
Practice address
10281 CORPORATE DR, GULFPORT, MS 39503-4603
(228) 604-4550
(228) 604-4656
Mailing address
10278 CORPORATE DRIVE, GULFPORT, MS 39503-4603
(228) 604-4550
(228) 604-4656
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014113
—
MS
Enumeration date
11/18/2005
Last updated
08/24/2011
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