Organization
INDIANAPOLIS HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILFORD A PAYNE (CEO)
(601) 582-6031
Entity
Organization
Contact information
Practice address
5354 W 62ND ST APT 174, INDIANAPOLIS, IN 46268-6427
(601) 582-6031
Mailing address
133 MAYFAIR RD, HATTIESBURG, MS 39402-1464
(601) 582-6031
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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