Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fondren Nightingales Senior Day Retreat Co

Organization Physical Therapist · NPI 1629550363

Fondren Nightingales Senior Day Retreat Co is a Physical Therapist 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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