Organization
SAINT JOHNS HOSPICE& PALLIATIVE CARE
Active
Other names
st johns hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN STEELE JOHNSON REGISTERED NURSE (RN/CEO)
(662) 756-0928
Entity
Organization
Contact information
Practice address
106 N RUBY AVE, RULEVILLE, MS 38771-3940
(662) 756-0928
(662) 756-0931
Mailing address
106 N RUBY AVE, RULEVILLE, MS 38771-3940
(662) 756-0928
(662) 756-0931
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
121
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04009054
—
MS
Enumeration date
06/13/2006
Last updated
08/22/2020
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