Organization
CANON HOSPICE-MISSISSIPPI INC
Active
Other names
Canon Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVA K AKULA M.D. (PRESIDENT)
(504) 669-3825
Entity
Organization
Contact information
Practice address
1520 BROAD AVE, SUITE 500, GULFPORT, MS 39501-3601
(228) 575-6251
(228) 575-8225
Mailing address
PO BOX 850715, NEW ORLEANS, LA 70185-0715
(504) 669-3825
(228) 575-8225
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
135
MS
Other
Enumeration date
05/19/2006
Last updated
09/02/2014
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