Organization
MAGNOLIA HOSPICE OF MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON SHIVE (ADMINISTRATOR)
(662) 751-1888
Entity
Organization
Contact information
Practice address
405 E FIFTEENTH ST, YAZOO CITY, MS 39194-2633
(662) 751-1888
(662) 751-1884
Mailing address
405 E FIFTEENTH ST, YAZOO CITY, MS 39194-2633
(662) 751-1888
(662) 751-1884
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
134
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09051700
—
MS
Enumeration date
08/30/2006
Last updated
08/22/2020
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