| NPI | 1245815844 |
|---|---|
| Former Legal Business Name | NULIFE HEALTHCARE, LLC |
| Entity Type | Organization |
| Authorized Contact | STACY BRIGGS Nurse Practitioner 601-738-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |