Organization
EVA'S PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY HILL (ADMINISTRATOR)
(228) 323-6365
Entity
Organization
Contact information
Practice address
258 VESTRY RD, PERKINSTON, MS 39573-2901
(601) 945-5053
Mailing address
4 HOLLY CV, GULFPORT, MS 39507-1945
(228) 323-6365
(228) 897-4847
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1041
MS
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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