Organization
ST. JOHN HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA JENKINS M.A. (OWNER)
(601) 606-0103
Entity
Organization
Contact information
Practice address
2201 HIGHWAY 49 STE B, WIGGINS, MS 39577-8013
(601) 606-0103
Mailing address
2201 HIGHWAY 49 STE B, WIGGINS, MS 39577-8013
(601) 606-0103
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
000000
MS
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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