Organization
NULIFE HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY FLOWERS (MANAGER)
(601) 597-2362
Entity
Organization
Contact information
Practice address
120 HOLT COLLIER DR STE C, VICKSBURG, MS 39183-4408
(601) 738-5565
(601) 738-5544
Mailing address
120 HOLT COLLIER DR STE C, VICKSBURG, MS 39183-4408
(601) 738-5565
(601) 738-5544
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/09/2021
Last updated
02/25/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up