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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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