GULF COAST PEDIATRIC CARE LLC is a nursing care and pediatric skilled nursing facility in Gulfport, MS. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. GULF COAST PEDIATRIC CARE LLC NPI is 1891107298. The provider is registered as an organization entity type.
The provider's business location address is:
1285 SPRING ST
GULFPORT, MS
ZIP 39507-423
Phone: (251) 232-1518
The provider's authorized official is Ashley Hammond .
The authorized official title is Vice President and has the following contact phone number (251) 232-1518.
The CLIA number assigned to this NPI record is 25D2079885 - other - prescribed pediatric care with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/20/2014 and was last updated on 5/20/2014.