Whalio Doctors

NPI 1336507284

Lapearls Residential and Private Care Facility

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Robinsonville, MS

Practice location

Address
2634 E Lake Blvd APT 9-9, Robinsonville, MS 38664-8916
Phone
(662) 373-4422

Authorised official

Name
Conswayda L Merritt
Title
Owner/Operator
Phone
(662) 373-4422

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1336507284
Entity type
Organization
NPI issued
7 Feb 2016
Record last updated
7 Feb 2016

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.