Organization
LIVING HOPE; LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA GATLIN (OWNER)
(601) 543-2182
Entity
Organization
Contact information
Practice address
1287 FRED STREET, PRENTISS, MS 39474
(601) 543-2182
Mailing address
4124 W 4TH ST APT 311, HATTIESBURG, MS 39401-5785
(601) 543-2182
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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