Organization
RESTORATION ESSENCE OF A LADY SHELTER, LLC
Active
Parent organization
RESTORATION CHILDREN FACILITIES INC
Other names
Restoration Children Facilities INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESTORATION CHILDREN FACILITIES INC
Authorized official
LAKENDRA AYANA WILSON (DIRECTOR)
(662) 303-1800
Entity
Organization
Contact information
Practice address
994 BANKHEAD DR, BELZONI, MS 39038
(662) 318-5018
Mailing address
308 CAMELLIA LN, INDIANOLA, MS 38751-2604
(662) 303-1800
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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