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Organization
LIFE-TIME HOSPICE LLC
Active
Organization
LIFE-TIME HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BESSIE L. MAGEE NURSE (OWNER)
(601) 876-6784
Entity
Organization
Contact information
Practice address
3106 HIGHWAY 44 E, MCCOMB, MS 39648-8511
(601) 876-1120
Mailing address
190 AIRLINE HWY, TYLERTOWN, MS 39667-7187
(601) 876-6784
(601) 876-6784
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
P228311
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000319
—
MS
05
—
00530861
—
MS
Enumeration date
08/15/2006
Last updated
08/22/2020
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