# MID-SOUTH HOME CARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial-Gentiva Palliative Care Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376988006
- **Authorized official:** JANET COMBS (VP OF LICENSURE)
- **Authorized official phone:** (913) 814-2013

## Contact information

- **Practice address:** 962 TOMMY MUNRO DR, SUITE E, BILOXI, MS 39532-2138
- **Practice address phone:** (228) 388-3978
- **Mailing address:** 12900 FOSTER ST STE 400, OVERLAND PARK, KS 66213-2696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2013
- **Last updated:** 09/23/2022