NPI 1194488007

Sos Transitional Living Services, LLC

Organisation In Home Supportive Care Agency Hattiesburg, MS

Practice location

Address: 214 Broadway Dr, Hattiesburg, MS 39401-5084
Phone: (601) 441-2220
Fax: (601) 602-1059
Mailing address: 2008 S 28th Avenue Ext, Hattiesburg, MS 39402-3450

Authorised official

Name: Ricketia Estella McKenzie
Title: Manager, Ceo
Phone: (601) 441-2220

Registered specialties (6)

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

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Meals Provider

Other Service Providers Taxonomy 174200000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

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Registry record

NPI: 1194488007
Entity type: Organization
NPI issued: 18 Oct 2021
Record last updated: 18 Oct 2021

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.