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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 Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3385H00000XRespite CareNo
4320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.