Life Enhancement Services Of Ms, Llc | |
232 Market St Flowood MS 39232-3339 | |
(704) 342-9595 | |
Not Available |
Full Name | Life Enhancement Services Of Ms, Llc |
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Speciality | Community/behavioral Health |
Location | 232 Market St, Flowood, Mississippi |
Authorized Official Name and Position | Herbert Gray (CEO/OWNER) |
Authorized Official Contact | 7043429595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Enhancement Services Of Ms, Llc 500 E Morehead St Suite 110 Charlotte NC 28202-2616 Ph: () - | Life Enhancement Services Of Ms, Llc 232 Market St Flowood MS 39232-3339 Ph: (704) 342-9595 |
NPI Number | 1073864864 |
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Provider Enumeration Date | 09/20/2012 |
Last Update Date | 09/20/2012 |
Identifier | Type | State | Issuer |
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1073864864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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