Healthcare Provider Details
I. General information
NPI: 1861332496
Provider Name (Legal Business Name): LIVNOUTLOUD ADULT DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1916 THOMAS ST
HORN LAKE MS
38637-3317
US
IV. Provider business mailing address
1916 THOMAS ST
HORN LAKE MS
38637-3317
US
V. Phone/Fax
- Phone: 769-233-6351
- Fax:
- Phone: 769-233-6351
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAILA
STEPTER
Title or Position: OWNER / ADMINISTRATOR
Credential:
Phone: 769-233-6351