Organization
PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I, INC.
Active
Other names
Delta Manor
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
701 HIGHWAY 322, CLARKSDALE, MS 38614-4722
(662) 627-2212
(662) 627-1727
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
631
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220056
—
MS
Enumeration date
11/16/2005
Last updated
08/04/2011
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