OrganizationActive
Kids' Kastle Gluckstadt
NPI 1962041798 · Pediatric Skilled Nursing Facility · Canton, MS
Provider details
- NPI number
- 1962041798
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jetuwan Brown, Managing Officer(601) 278-6710
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Nursing Care Agency251J00000X
Agencies
Practice location
112 Westfalen Drive
Canton, MS 39046
Phone: (601) 499-0167
Fax: (601) 499-0294
Approximate (ZIP-level) locationGet directions
Mailing address
115 Aulenbrock Dr Ste a
Canton, MS 39046-7036
Registry dates
- Enumerated
- 2019-12-26
- Last updated
- 2019-12-26
- Certified
- 2019-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.