Organization
HERITAGE HOSPICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY E BURGESS R.PH. (ADMINISTRATOR)
(662) 286-5333
Entity
Organization
Contact information
Practice address
301 E WALDRON ST, CORINTH, MS 38834-4756
(662) 286-5333
(662) 286-0052
Mailing address
301 E WALDRON ST, CORINTH, MS 38834-4756
(662) 286-5333
(662) 286-0052
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
070
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770562
—
MS
Enumeration date
08/05/2006
Last updated
08/22/2020
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