Organization
MERIDIAN LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANDERSON (CFO)
(601) 918-7733
Entity
Organization
Contact information
Practice address
538 BONITA LAKES DR, MERIDIAN, MS 39301-6992
(601) 512-0512
(601) 693-3350
Mailing address
538 BONITA LAKES DR, MERIDIAN, MS 39301-6992
(601) 512-0512
(601) 693-3350
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1242
DEPARTMENT OF HEALTH
MS
Enumeration date
03/16/2022
Last updated
03/16/2022
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