| NPI | 1396250031 |
|---|---|
| Former Legal Business Name | LILLY PAD HOME HEALTH, LLC |
| Entity Type | Organization |
| Authorized Contact | LATONYA HAILES CEO/Administrator 601-336-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 251E00000X Home Health | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-11-06 |