Healthcare Provider Details

I. General information

NPI: 1154976678
Provider Name (Legal Business Name): SLM SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2019
Last Update Date: 07/15/2021
Certification Date: 07/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

458 HENRY CANNON ROAD
BRAXTON MS
39044-3904
US

IV. Provider business mailing address

458 HENRY CANNON ROAD
BRAXTON MS
39044
US

V. Phone/Fax

Practice location:
  • Phone: 601-572-5518
  • Fax:
Mailing address:
  • Phone: 601-572-5518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MELANIE SPENCER
Title or Position: OWNER
Credential:
Phone: 601-572-5518