Whalio Doctors

NPI 1144618471

Life Senior Home Care LLC

Organisation Health Maintenance Organization Brandon, MS

Practice location

Address
126 Richmond Dr, Brandon, MS 39042-2832
Phone
(601) 824-1422

Authorised official

Name
James Ernest Marshall
Title
Ceo
Phone
(601) 824-1422

Registered specialties

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X

Registry record

NPI
1144618471
Entity type
Organization
NPI issued
9 Jan 2015
Record last updated
9 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.