| Lose/control Llc | |
|
4795 I 55 N Building B Jackson MS 39206-5602 | |
| (601) 316-9989 | |
| Not Available |
| Full Name | Lose/control Llc |
|---|---|
| Speciality | Nursing Care |
| Location | 4795 I 55 N, Jackson, Mississippi |
| Authorized Official Name and Position | Joycelyn Yolanda Coleman (PRESIDENT/CEO) |
| Authorized Official Contact | 6013169989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lose/control Llc Po Box 6244 Pearl MS 39288-6244 Ph: (601) 316-9989 | Lose/control Llc 4795 I 55 N Building B Jackson MS 39206-5602 Ph: (601) 316-9989 |
| NPI Number | 1306259981 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306259981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Mississippi) | Secondary |
| 251J00000X | Nursing Care | R879573 (Mississippi) | Primary |
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