Organization
GENESIS HOSPICE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLINE BRANDON RN (CEO)
(662) 846-0922
Entity
Organization
Contact information
Practice address
201 WEST SUNFLOWER ROAD, POB 1888, CLEVELAND, MS 38732
(662) 846-0922
(662) 846-0833
Mailing address
6341 HWY 51 NORTH, SUITE 6, HORN LAKE, MS 38937
(662) 393-3414
(662) 393-3474
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04788594
—
MS
Enumeration date
11/17/2006
Last updated
08/22/2020
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