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Organization
MEMORIAL HOSPICE INC
Active
Organization
MEMORIAL HOSPICE INC
Active
Parent organization
MEMORIAL HOSPICE INC
Other names
Memorial Hospice Inpatient Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPICE INC
Authorized official
MS. VANELLA NOAH CAMPBELL LPN (CEO)
(662) 624-2872
Entity
Organization
Contact information
Practice address
600 OHIO STREET, CLARKSDALE, MS 38614
(662) 624-2872
(662) 627-7629
Mailing address
POST OFFICE BOX 1726, 600 OHIO STREET, CLARKSDALE, MS 38614
(662) 624-2872
(662) 627-7629
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09586879
—
MS
Enumeration date
10/16/2006
Last updated
08/02/2007
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