Healthcare Provider Details

I. General information

NPI: 1669318523
Provider Name (Legal Business Name): ALIGNED LIFE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 SUNLIGHT CHURCH RD
SANDY HOOK MS
39478-9469
US

IV. Provider business mailing address

29 SUNLIGHT CHURCH RD
SANDY HOOK MS
39478-9469
US

V. Phone/Fax

Practice location:
  • Phone: 985-264-7745
  • Fax: 888-649-6638
Mailing address:
  • Phone: 985-264-7745
  • Fax: 985-264-7745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LATONYA MARK
Title or Position: ADMINISTRATOR
Credential:
Phone: 985-264-7745