Organization
ASERACARE HOSPICE - GULFPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY A RASMUSSEN-JONES (ASST SECRETARY)
(479) 201-4840
Entity
Organization
Contact information
Practice address
21 MARKS RD, OCEAN SPRINGS, MS 39564-4351
(901) 758-1450
Mailing address
21 MARKS RD, OCEAN SPRINGS, MS 39564-4351
(901) 758-1450
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05022741
—
MS
Enumeration date
06/04/2006
Last updated
08/22/2020
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