Organization
MERIDIAN PEDIATRIC EXTENDED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HAMMOND RPH (ADMINISTRATOR)
(601) 912-0373
Entity
Organization
Contact information
Practice address
3850 HIGHWAY 45 N, MERIDIAN, MS 39301-1517
(601) 912-0373
(601) 910-7521
Mailing address
3850 HIGHWAY 45 N, MERIDIAN, MS 39301-1517
(601) 912-0373
(601) 910-7521
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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