NPI
Destination Life LLC-S
NPI 1023625894
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2020-09-25
- Last updated
- 2026-10-13
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 216 S 13th Ave Ste C
- City
- Laurel MS
- Postal code
- 39440-4226
- Phone
- (601) 342-2243
Organization contact
- Name
- Zemelda Carr
- Title
- Administration
- Phone
- (817) 266-4185
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Laurel, MS. 910 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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