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Organization
LA RESPITE, LLC
Active
Organization
LA RESPITE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALONZO EVANS (OWNER)
(662) 299-2510
Entity
Organization
Contact information
Practice address
701 BOWIE LN, GREENWOOD, MS 38930-5935
(662) 299-2510
Mailing address
PO BOX 1471, GREENWOOD, MS 38935-1471
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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