Organization
COMMUNITY HOSPICE, LLC
Active
Other names
Halcyon Hospice - Hattiesburg
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
22 MILLBRANCH RD STE 100, HATTIESBURG, MS 39402-1594
(601) 336-5832
(601) 255-5095
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
184
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08436766
—
MS
Enumeration date
08/27/2009
Last updated
07/12/2022
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