Organization
SOUTHERN LIVING ASSISTANCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BUCH (OWNER)
(228) 222-4624
Entity
Organization
Contact information
Practice address
4011 BEATLINE RD STE 1, LONG BEACH, MS 39560-4138
(228) 222-4624
Mailing address
4011 BEATLINE RD STE 1, LONG BEACH, MS 39560-4138
(228) 222-4624
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
01/10/2024
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