Organization
SOS TRANSITIONAL LIVING SERVICES, LLC
Active
Parent organization
SOS TRANSITIONAL LIVING SERVICES, LLC
Other names
Higher Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOS TRANSITIONAL LIVING SERVICES, LLC
Authorized official
RICKETIA ESTELLA MCKENZIE (MANAGER, CEO)
(601) 441-2220
Entity
Organization
Contact information
Practice address
214 BROADWAY DR, HATTIESBURG, MS 39401-5084
(601) 441-2220
(601) 602-1059
Mailing address
2008 S 28TH AVENUE EXT, HATTIESBURG, MS 39402-3450
(601) 441-2220
(601) 602-1059
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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