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Organization
LILLY PAD HOME HEALTH, LLC
Active
Organization
LILLY PAD HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA HAILES (ADMINSTRATOR)
(601) 336-6114
Entity
Organization
Contact information
Practice address
1507 HARDY ST STE 201, HATTIESBURG, MS 39401-4978
(601) 336-6114
(888) 449-9560
Mailing address
1507 HARDY ST STE 201, HATTIESBURG, MS 39401-4978
(601) 336-6114
(888) 449-9560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WC1600X
Continuing Education/Staff Development Registered Nurse
—
—
163WC2100X
Continence Care Registered Nurse
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
163WD1100X
Peritoneal Dialysis Registered Nurse
—
—
163WF0300X
Flight Registered Nurse
—
—
163WG0600X
Gerontology Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WH1000X
Hospice Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WI0600X
Infection Control Registered Nurse
—
—
163WP0200X
Pediatric Registered Nurse
—
—
163WS0200X
School Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
Other
Enumeration date
04/20/2018
Last updated
12/12/2018
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