Organization
JUSTLIKEHOME SUPPORTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRITTANY N DAVIS (OWNER/MANAGER)
(601) 214-6426
Entity
Organization
Contact information
Practice address
9 COUNTY ROAD 3312, ENTERPRISE, MS 39330-9070
(601) 214-6426
Mailing address
9 COUNTY ROAD 3312, ENTERPRISE, MS 39330-9070
(601) 214-6426
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
09/08/2020
Last updated
09/11/2020
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