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SUNSET RESIDENTIAL CENTER LLC NPI 1679134183


NPI Information

NPI: 1679134183
Provider Name: SUNSET RESIDENTIAL CENTER LLC
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
20114B HIGHWAY 18
HERMANVILLE, MS
ZIP 39086
Phone: (601) 535-2059
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SUNSET RESIDENTIAL CENTER LLC is an assisted living and mental illness assisted living facility in Hermanville, MS. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. SUNSET RESIDENTIAL CENTER LLC NPI is 1679134183. The provider is registered as an organization entity type.

The provider's business location address is:

20114B HIGHWAY 18
HERMANVILLE, MS
ZIP 39086-747
Phone: (601) 535-2059
Fax: (601) 535-2059

The provider's authorized official is Gloria Jean Shoulders .
The authorized official title is Owner and has the following contact phone number (601) 831-2371.

The enumeration date for this NPI number is 6/25/2019 and was last updated on 6/25/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

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: 4/28/2024

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