Provider Demographics
NPI:1912390865
Name:LHC SENIORS ASSOCIATION
Entity Type:Organization
Organization Name:LHC SENIORS ASSOCIATION
Other - Org Name:DAY CARE CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRISDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-354-7866
Mailing Address - Street 1:5495 ROBINSON ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39204-4138
Mailing Address - Country:US
Mailing Address - Phone:601-354-7866
Mailing Address - Fax:601-354-6866
Practice Address - Street 1:5495 ROBINSON ROAD EXT
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39204-4138
Practice Address - Country:US
Practice Address - Phone:601-354-7866
Practice Address - Fax:601-354-6866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health