Organization
GENESIS HOSPICE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLINE BRANDON RN (ADMINISTRATOR)
(662) 846-0100
Entity
Organization
Contact information
Practice address
201 HIGHWAY 82 W, INDIANOLA, MS 38751-2141
(662) 887-1274
(662) 887-7263
Mailing address
700 E SUNFLOWER RD, CLEVELAND, MS 38732-2726
(662) 846-0100
(662) 843-0115
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03485082
—
MS
Enumeration date
10/20/2006
Last updated
03/16/2010
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