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Organization

CELESTIAL COMFORT CARE HOSPICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETTY GOOCH (CEO)
(662) 902-2921
Entity
Organization

Contact information

Practice address
110 YAZOO AVE. SUITE 212, CLARKSDALE, MS 38614
(662) 592-4213
(662) 592-4210
Mailing address
PO BOX 1052, CLARKSDALE, MS 38614
(662) 592-4213
(662) 592-4210

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
205
MS

Other

Enumeration date
09/10/2012
Last updated
09/11/2012
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