Life Senior Home Care LLC
NPI #1144618471 in Brandon, Mississippi
Provider Information
- NPI Number
- 1144618471
- Entity Type
- Organization
- Organization Name
- Life Senior Home Care LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jan 9, 2015
- Last Updated
- Jan 9, 2015
Practice Location
- Address
- 126 RICHMOND DR
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-2832
- Phone
- (601) 824-1422
Authorized Official
- Name
- MR. JAMES ERNEST MARSHALL SR.
- Title
- CEO
- Phone
- (601) 824-1422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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