Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fondren Nightingales Senior Day Retreat Co

Organization Physical Therapist · NPI 1629550363

Fondren Nightingales Senior Day Retreat Co provides Physical Therapist services in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
Specialties on file
2

Practice location Address checks out

3321 N West St
Jackson, MS 39216-3039
Phone: (601) 398-4485
Fax: (601) 398-1492
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Day Care Clinic/Center (primary) Taxonomy 261QA0600X (MS)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1629550363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregg Levy — Ceo · (601) 398-4485
NPI enumeratedAugust 29, 2018
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021
Mailing address3321 N West St, Jackson, MS 39216-3039

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