Organization
LILLY PAD HOME HEALTH, LLC
Active
Other names
Lilly Pad Home Health, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA HAILES (CEO/ADMINISTRATOR)
(601) 336-6114
Entity
Organization
Contact information
Practice address
1507 HARDY ST STE 201, HATTIESBURG, MS 39401-4978
(601) 410-5836
(888) 449-9560
Mailing address
1507 HARDY ST STE 201, HATTIESBURG, MS 39401-4978
(601) 410-5836
(888) 449-9560
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/04/2017
Last updated
11/06/2019
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