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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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