Organization
PRESERVERS OF LIFE HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA ALLEN (ADMINSTRATOR)
(662) 588-4026
Entity
Organization
Contact information
Practice address
210 A HWY 61 SOUTH, SHAW, MS 38773
(662) 588-4026
Mailing address
PO BOX 299, CLEVELAND, MS 38732-0299
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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