INNER PEACE LIVING INC NPI 1083317168

NPI Information

NPI: 1083317168
Provider Name: INNER PEACE LIVING, INC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1174 OLD INDUSTRIAL RD
MCCOMB, MS
ZIP 39648
Phone: (601) 600-2170
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INNER PEACE LIVING, INC is a residential treatment facility, intellectual and/or developmental disabilities in Mccomb, MS. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. INNER PEACE LIVING, INC NPI is 1083317168. The provider is registered as an organization entity type.

The provider's business location address is:

1174 OLD INDUSTRIAL RD
MCCOMB, MS
ZIP 39648-407
Phone: (601) 600-2170

The provider's authorized official is Latreshia Martin .
The authorized official title is Owner/ceo and has the following contact phone number (769) 217-0209.

The enumeration date for this NPI number is 3/27/2023 and was last updated on 3/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	253Z00000X	In Home Supportive Care	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	No
3	385H00000X	Respite Care	No
4	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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