Organization
LIFE SENIOR HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ERNEST MARSHALL SR. (CEO)
(601) 824-1422
Entity
Organization
Contact information
Practice address
126 RICHMOND DR, BRANDON, MS 39042-2832
(601) 824-1422
Mailing address
126 RICHMOND DR, BRANDON, MS 39042-2832
(601) 824-1422
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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