# LIFE CENTER HOSPICE PALLIATIVE CARE AND NURSING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154164119
- **Authorized official:** HENRY W ROBERTS II (CEO)
- **Authorized official phone:** (251) 456-2652

## Contact information

- **Practice address:** 351 S CRAFT HWY, CHICKASAW, AL 36611-2208
- **Practice address phone:** (251) 456-2652
- **Mailing address:** 351 S CRAFT HWY, CHICKASAW, AL 36611-2208
- **Mailing address phone:** (251) 456-2652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2024
- **Last updated:** 06/17/2024