Organization
LEAN ON ME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA RUSH (HOME HEALTH CARE PROVIDER)
(662) 207-8066
Entity
Organization
Contact information
Practice address
501 HIGHWAY 82 E, INDIANOLA, MS 38751-2317
(662) 207-8066
Mailing address
PO BOX 1073, INDIANOLA, MS 38751-1073
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
08/17/2018
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