Provider Demographics
NPI:1912390865
Name:LHC SENIORS ASSOCIATION
Entity type:Organization
Organization Name:LHC SENIORS ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:PO BOX 880
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39205-0880
Mailing Address - Country:US
Mailing Address - Phone:601-624-5397
Mailing Address - Fax:601-354-6866
Practice Address - Street 1:652 HIGHWAY 80 E
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-5123
Practice Address - Country:US
Practice Address - Phone:601-624-5397
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:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care