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Organization
LIFE SENIOR HOME CARE LLC
Active
Organization
LIFE SENIOR HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ERNEST MARSHALL SR. (CEO)
(601) 824-1422
Entity
Organization
Contact information
Practice address
126 RICHMOND DR, BRANDON, MS 39042-2832
(601) 824-1422
Mailing address
126 RICHMOND DR, BRANDON, MS 39042-2832
(601) 824-1422
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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