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Organization

LIVING INDEPENDENCE FOR EVERYONE OF MISSISSIPPI

Active
Other names
LIFE of Mississippi
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTY G. DUNAWAY (EXECUTIVE DIRECTOR)
(601) 969-4009
Entity
Organization

Contact information

Practice address
1304 VINE ST, JACKSON, MS 39202-3429
(601) 969-4009
(601) 969-1662
Mailing address
1304 VINE ST, JACKSON, MS 39202-3429
(601) 969-4009
(601) 969-1662

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
12/08/2011
Last updated
12/08/2011
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