Restoration Essence of a Lady Shelter, LLC
NPI #1073248795 in Belzoni, Mississippi
Provider Information
- NPI Number
- 1073248795
- Entity Type
- Organization
- Organization Name
- Restoration Essence of a Lady Shelter, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RESTORATION CHILDREN FACILITIES INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 18, 2022
- Last Updated
- Jul 18, 2022
Practice Location
- Address
- 994 BANKHEAD DR
- City
- Belzoni
- State
- Mississippi
- ZIP Code
- 39038
- Phone
- (662) 318-5018
Authorized Official
- Name
- LAKENDRA AYANA WILSON
- Title
- DIRECTOR
- Phone
- (662) 303-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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