MEDICARE: PRESSICARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility	1016	MS

General Provider Information

NPI Number	:	1790119519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESSICARE, INC

Provider Business Mailing Address
First Line	:	20434 OLD HOUSTON RD
Second Line	:
City	:	ABERDEEN
State	:	MS
Zip	:	39730-8548
Country	:	US
Telephone Number	:	662-369-0070
Fax Number	:	662-369-1727

Provider Business Practice Location Address
First Line	:	20434 OLD HOUSTON RD
Second Line	:
City	:	ABERDEEN
State	:	MS
Zip	:	39730-8548
Country	:	US
Telephone Number	:	662-369-0070
Fax Number	:	662-369-1727

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	CHINA DANETTE JOHNSON
Credential	:	RN, BSN
Telephone Number	:	662-369-0070

Provider Enumeration Date	:	08/28/2013
Last Update Date	:	08/28/2013

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Directions to “PRESSICARE, INC ” Practice Location

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