Nulife Health Care LLC
Clinic/Center in Vicksburg, MS. Organization (NPI-2).
NPI number1316616626
StatusActive
Last updated in NPPESFeb 25, 2022
Details
- NPI
- 1316616626
- Entity type
- Organization (NPI-2)
- Legal business name
- Nulife Health Care LLC
- Organization subpart
- No
- Enumeration date
- Sep 9, 2021
- Certification date
- Feb 25, 2022
- Last updated
- Feb 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
120 Holt Collier Dr Ste CVicksburg, MS 39183-4408
Phone 601-738-5565 · Fax 601-738-5544
Mailing address
120 Holt Collier Dr Ste CVicksburg, MS 39183-4408
Phone 601-738-5565 · Fax 601-738-5544
Authorized official
Stacy Flowers
Manager
6015972362
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