OrganizationActive
Life Changing Adult Daycare
NPI 1659737286 · Case Manager/Care Coordinator · Indianola, MS
Provider details
- NPI number
- 1659737286
- Entity type
- Organization
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Organization subpart
- No
- Authorized official
- Pamela Randle, Owner(662) 207-3645
Specialties & taxonomies
Other Service Providers
Practice location
305 Birch Ave
Indianola, MS 38751-2107
Phone: (662) 207-3645
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 53
Indianola, MS 38751-0053
Registry dates
- Enumerated
- 2016-01-12
- Last updated
- 2016-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.