Restoration Essence Of A Lady Shelter, Llc | |
994 Bankhead Dr Belzoni MS 39038 | |
(662) 318-5018 | |
Not Available |
Full Name | Restoration Essence Of A Lady Shelter, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 994 Bankhead Dr, Belzoni, Mississippi |
Authorized Official Name and Position | Lakendra Ayana Wilson (DIRECTOR) |
Authorized Official Contact | 6623031800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Restoration Essence Of A Lady Shelter, Llc 308 Camellia Ln Indianola MS 38751-2604 Ph: (662) 303-1800 | Restoration Essence Of A Lady Shelter, Llc 994 Bankhead Dr Belzoni MS 39038 Ph: (662) 318-5018 |
NPI Number | 1073248795 |
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Provider Enumeration Date | 07/18/2022 |
Last Update Date | 07/18/2022 |
Certification Date | 07/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073248795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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