Organization
MID-DELTA HOSPICE NORTH INC
Active
Other names
Bristol Hospice - Southaven
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MAURICIO (CEO/PRESIDENT)
(801) 325-0175
Entity
Organization
Contact information
Practice address
230-2 GOODMAN ROAD, SUITE 200, SOUTHAVEN, MS 38671
(662) 399-2860
(662) 901-2048
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
(801) 325-0175
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
111
MS
Other
Enumeration date
04/06/2006
Last updated
02/19/2026
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