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NPI 1013634054

NPI 1013634054 : PRESSICARE, INC : ABERDEEN, MS

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General NPI Number Information
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    NPI Number           |    1013634054
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRESSICARE, INC 
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Dates
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    Enumeration Date     |    10/20/2022
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    Last Update Date     |    10/20/2022
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Provider Practice Location Address
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    Address Line         |    20434 OLD HOUSTON RD 
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    City                 |    ABERDEEN
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    State                |    MS
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    Zip                  |    39730-8548
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    Country              |    US
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    Telephone            |    662-369-0070
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    Fax                  |    662-369-1727
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Provider Business Mailing Address
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    Address Line         |    20434 OLD HOUSTON RD 
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    City                 |    ABERDEEN
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    State                |    MS
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    Zip                  |    39730-8548
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    Country              |    US
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    Telephone            |    662-369-0070
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    Fax                  |    662-369-1727
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     CHINA  JOHNSON 
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    Credential           |    RN
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    Telephone            |    662-369-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3104A0625X
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    Taxonomy Name        |    Assisted Living Facility (Mental Illness)
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    311ZA0620X
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    Taxonomy Name        |    Adult Care Home Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    313M00000X
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    Taxonomy Name        |    Nursing Facility/Intermediate Care Facility
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    License Number       |    
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    License Number State |    
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