Individual
LATOYIA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 N MAIN ST, LELAND, MS 38756-2657
(662) 771-5112
(662) 771-5112
Mailing address
511 N MAIN ST, P.O. BOX 931, LELAND, MS 38756-2657
(662) 771-5112
(662) 771-5112
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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