| Lilly Pad Home Health | |
|
11 N Water St Mobile AL 36602-3809 | |
| (601) 410-5836 | |
| Not Available |
| Full Name | Lilly Pad Home Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11 N Water St, Mobile, Alabama |
| Authorized Official Name and Position | Latonya Hailes (OWNER) |
| Authorized Official Contact | 6014105836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilly Pad Home Health 1507 Hardy St Ste 201 Hattiesburg MS 39401-4978 Ph: (601) 410-5836 | Lilly Pad Home Health 11 N Water St Mobile AL 36602-3809 Ph: (601) 410-5836 |
| NPI Number | 1255846994 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 12/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255846994 | NPI | - | NPPES |
| 06732371 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 385H00000X | Respite Care | (* (Not Available)) | Secondary |
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