MEDICARE: PRESSICARE, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	310400000X	Assisted Living Facility
3	3104A0625X	Assisted Living Facility (Mental Illness)
4	311ZA0620X	Adult Care Home Facility
5	385H00000X	Respite Care
6	313M00000X	Nursing Facility/Intermediate Care Facility

General Provider Information

NPI Number	:	1013634054
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	:	ADMINISTRATOR
Name	:	CHINA JOHNSON
Credential	:	RN
Telephone Number	:	662-369-0070

Provider Enumeration Date	:	10/20/2022
Last Update Date	:	10/20/2022

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1790119519 — PRESSICARE, INC
Practice Location Address:

20434 OLD HOUSTON RD
ABERDEEN, MS
39730-8548

Practice Phone: 662-369-0070
Practice Fax: 662-369-1727

1073233086 — CHINA JOHNSON
Practice Location Address:

20434 OLD HOUSTON RD
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39730-8548

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Practice Location Address:

505 JACKSON ST
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1073578043 — DR. JULIAN ARTHUR BROWN JR. M. D.
Practice Location Address:

401 S CHESTNUT ST
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Practice Fax: 662-369-6979

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Practice Location Address:

400 S CHESTNUT ST
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1083655724 — LISA B ELGIN NP
Practice Location Address:

403 S CHESTNUT ST
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Directions to “PRESSICARE, INC ” Practice Location

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