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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