Organization
HOMECARE HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS CLARK BLAIR (CEO)
(205) 652-6167
Entity
Organization
Contact information
Practice address
13 NORTHTOWN DR STE 130, JACKSON, MS 39211-3047
(769) 257-6347
(769) 257-6379
Mailing address
PO BOX 2130, DAPHNE, AL 36526-2130
(205) 652-6167
(205) 742-0028
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070221
BCBS OF MS
MS
05
—
7976082
—
MS
Enumeration date
11/08/2006
Last updated
02/27/2025
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