Organization
LILLY PAD HOME HEALTH, LLC
Active
Other names
dba
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA HAILES (ADMINSTRATOR)
(601) 336-6114
Entity
Organization
Contact information
Practice address
1004 ADAMS ST, LAUREL, MS 39440-4365
(601) 342-2461
(888) 449-9560
Mailing address
1507 HARDY ST STE 201, HATTIESBURG, MS 39401-4978
(601) 336-6114
(888) 449-9560
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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