# MIDSOUTH ESSENTIAL SHARED GROUP LIVING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midsouth Essential Shared Group Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053003111
- **Authorized official:** SCARLETT HUNTER (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (901) 574-8207

## Contact information

- **Practice address:** 610 N. MISSOUR ST., WEST MEMPHIS, AR 72364-5007
- **Practice address phone:** (870) 301-2022
- **Practice address fax:** (901) 441-5885
- **Mailing address:** 610 N. MISSOUR ST., WEST MEMPHIS, AR 72364
- **Mailing address phone:** (870) 301-2022
- **Mailing address fax:** (901) 441-5885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 06/02/2023