Organization
IN LOVING ARMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVENE AUGUSTUS PHARM.D. (FOUNDER/CEO)
(225) 907-4117
Entity
Organization
Contact information
Practice address
83 WHITE CHAPEL ROAD, CARRIERE, MS 39426-8778
(225) 907-4117
(601) 510-9431
Mailing address
6 SIEBENKITTEL CIRCLE STE B, CARRIERE, MS 39426-8778
(225) 907-4117
(601) 510-9431
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
0000
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
MS
Enumeration date
09/12/2012
Last updated
09/12/2012
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