OrganizationActive
Changing Life at Home Ms LLC
NPI 1285580712 · In Home Supportive Care Agency · Southaven, MS
Provider details
- NPI number
- 1285580712
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Michelle Anderson, Administrator(662) 929-2808
Specialties & taxonomies
Agencies
Practice location
3709 Jordan View Dr
Southaven, MS 38671-7077
Phone: (662) 929-2808
Approximate (ZIP-level) locationGet directions
Mailing address
3709 Jordan View Dr
Southaven, MS 38671-7077
Registry dates
- Enumerated
- 2026-03-06
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.