Organization
LAPEARLS RESIDENTIAL AND PRIVATE CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CONSWAYDA L MERRITT (OWNER/OPERATOR)
(662) 373-4422
Entity
Organization
Contact information
Practice address
2634 E LAKE BLVD APT 9-9, ROBINSONVILLE, MS 38664-8916
(662) 373-4422
Mailing address
2634 E LAKE BLVD APT 9-9, ROBINSONVILLE, MS 38664-8916
(662) 373-4422
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MS
Other
Enumeration date
02/07/2016
Last updated
02/07/2016
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