# TOTAL LIFE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952646754
- **Authorized official:** MS. PRECIA PEDERSEN (OFFICE MANAGER)
- **Authorized official phone:** (601) 544-0029

## Contact information

- **Practice address:** 301 W PINE ST, HATTIESBURG, MS 39401-3829
- **Practice address phone:** (601) 544-0029
- **Practice address fax:** (601) 544-0780
- **Mailing address:** 301 W PINE ST, HATTIESBURG, MS 39401-3829
- **Mailing address phone:** (601) 544-0029
- **Mailing address fax:** (601) 544-0780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2012
- **Last updated:** 12/05/2012