OrganizationActive
Sunset Residential Center LLC
NPI 1679134183 · Assisted Living Facility (Mental Illness) · Hermanville, MS
Provider details
- NPI number
- 1679134183
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gloria Shoulders, Owner(601) 831-2371
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
20114b Highway 18
Hermanville, MS 39086-9747
Phone: (601) 535-2059
Fax: (601) 535-2059
Approximate (ZIP-level) locationGet directions
Mailing address
20114b Highway 18
Hermanville, MS 39086-9747
Registry dates
- Enumerated
- 2019-06-25
- Last updated
- 2019-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.