Organization
LIVING LOVED CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH SIMMERMAN (OWNER)
(251) 416-6220
Entity
Organization
Contact information
Practice address
169 DAUPHIN ST STE 304, MOBILE, AL 36602-3271
(251) 415-6220
Mailing address
11708 JEFF HAMILTON RD, MOBILE, AL 36695-8084
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013126
—
AL
Enumeration date
10/16/2018
Last updated
06/11/2019
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