| Lilly Pad Home Health, Llc | |
|
103 Millcreek Cors Ste B Brandon MS 39047-9011 | |
| (601) 410-5836 | |
| (601) 410-5836 |
| Full Name | Lilly Pad Home Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 103 Millcreek Cors Ste B, Brandon, Mississippi |
| Authorized Official Name and Position | Latonya Hailes (OWNER) |
| Authorized Official Contact | 6014105836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilly Pad Home Health, Llc 103 Millcreek Cors Ste B Brandon MS 39047-9011 Ph: (601) 410-5836 | Lilly Pad Home Health, Llc 103 Millcreek Cors Ste B Brandon MS 39047-9011 Ph: (601) 410-5836 |
| NPI Number | 1164350534 |
|---|---|
| Provider Enumeration Date | 05/13/2026 |
| Last Update Date | 05/13/2026 |
| Certification Date | 05/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164350534 | NPI | - | NPPES |
| 002685282 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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