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Organization

COMPLETE HOSPICE & PALLIATIVE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHARLETTE MCBRIDE CCCSLP (CEO/ADMINISTRATOR)
(662) 719-9533
Entity
Organization

Contact information

Practice address
103 WOODLAND RD, SUITE 7C, BATESVILLE, MS 38606-8483
(662) 578-8177
(662) 578-8175
Mailing address
3130 MCINGVALE RD, HERNANDO, MS 38632-8795
(662) 578-8177
(662) 578-8175

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07388009
MS
Enumeration date
05/19/2006
Last updated
12/30/2007
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