Healthcare Provider Details

I. General information

NPI: 1861313777
Provider Name (Legal Business Name): LIFE SAVERS ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 HWY 61 SOUTH
SHAW MS
38773
US

IV. Provider business mailing address

1001 HWY 61 SOUTH
SHAW MS
38773
US

V. Phone/Fax

Practice location:
  • Phone: 662-276-9740
  • Fax:
Mailing address:
  • Phone: 662-276-9740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA CURRY
Title or Position: ADMINISTRATOR
Credential:
Phone: 662-347-4853