Prescribed Pediatric Extended Care, Inc

NPI 1265844013 - Clinic/Center - 261QM3000X

NPI Details
NPI 1265844013
Enumeration Date 05/28/2014
Last Updated 05/28/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name HEIDI HEIDI
Position VP FINANCE
Phone (318) 625-0410
Fax
Practice Location
5505 JACKSON ST
ALEXANDRIA LA, 71303-2324, US
Phone (318) 625-0410
Fax
Business Location
8509 BENJAMIN RD
SUITE D
TAMPA FL, 33634-1224, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM3000X
License State
License Number
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According to our database, Prescribed Pediatric Extended Care, Inc NPI is 1265844013, taxonomy code is 261QM3000X Prescribed Pediatric Extended Care, Inc physically located at 5505 Jackson St, Alexandria LA, 71303-2324. NPI Number 1033115704 has the healthcare provider type.

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1265844013 NPI number is provided on an as is basis without warranty of any kind. 1265844013 is maintained by the National Plan & Provider Enumeration System. The contents of Prescribed Pediatric Extended Care, Inc are for informational purposes only.