OrganizationActive
Fondren Nightingales Senior Day Retreat Co
NPI 1629550363 · Adult Day Care Clinic/Center · Jackson, MS
Provider details
- NPI number
- 1629550363
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregg Levy, Ceo(601) 398-4485
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3321 N West St
Jackson, MS 39216-3039
Phone: (601) 398-4485
Fax: (601) 398-1492
Approximate (ZIP-level) locationGet directions
Mailing address
3321 N West St
Jackson, MS 39216-3039
Registry dates
- Enumerated
- 2018-08-29
- Last updated
- 2021-08-31
- Certified
- 2021-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.