Organization
MERCY HOSPICE, LLC
Active
Other names
Legacy Hospice of the South
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS CLARK BLAIR (CEO)
(205) 652-6167
Entity
Organization
Contact information
Practice address
183 HIGHWAY 51 S, BATESVILLE, MS 38606-2542
(662) 578-8177
(662) 578-8175
Mailing address
PO BOX 2130, DAPHNE, AL 36526-2130
(205) 615-6167
(205) 742-0028
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
143
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07388009
—
MS
01
—
143
STATE LICENSE
MS
01
—
25D2090544
CLIA
MS
Enumeration date
01/21/2011
Last updated
03/21/2025
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