Fondren Nightingales Senior Day Retreat Co is a
Clinic/center - Adult Day Care based in Jackson, Mississippi. Fondren Nightingales Senior Day Retreat Co is licensed to practice in Mississippi (license number ) and their current practice location is
3321 N West St, Jackson, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(601) 398-4485.
NPI number for Fondren Nightingales Senior Day Retreat Co is 1629550363 and their current mailing address is 3321 N West St, Jackson, Mississippi. Fondren Nightingales Senior Day Retreat Co
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1629550363.
Healthcare Provider's Profile
| Full Name | Fondren Nightingales Senior Day Retreat Co |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Adult Day Care |
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| Location | 3321 N West St, Jackson, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629550363
- Provider Enumeration Date: 08/29/2018
- Last Update Date: 08/31/2021
Medical Identifiers
Medical identifiers for Fondren Nightingales Senior Day Retreat Co such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629550363 | NPI | - | NPPES |
| 1053622134 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QA0600X | Clinic/center - Adult Day Care | (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fondren Nightingales Senior Day Retreat Co is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fondren Nightingales Senior Day Retreat Co
3321 N West St,
Jackson, MS 39216-3039
Ph: (601) 398-4485 | Fondren Nightingales Senior Day Retreat Co
3321 N West St,
Jackson, MS 39216-3039
Ph: (601) 398-4485 |
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