Provider Demographics
NPI:1245926369
Name:SHARINGLYFE NON-MEDICAL CARE AGENCY
Entity type:Organization
Organization Name:SHARINGLYFE NON-MEDICAL CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATORIA
Authorized Official - Middle Name:RENEEA
Authorized Official - Last Name:BATTLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-313-3364
Mailing Address - Street 1:1207 LEE DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38614-3320
Mailing Address - Country:US
Mailing Address - Phone:662-592-5143
Mailing Address - Fax:662-313-3364
Practice Address - Street 1:1207 LEE DR
Practice Address - Street 2:
Practice Address - City:CLARKSDALE
Practice Address - State:MS
Practice Address - Zip Code:38614-3320
Practice Address - Country:US
Practice Address - Phone:662-592-5143
Practice Address - Fax:662-313-3364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No174200000XOther Service ProvidersMeals
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty