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Organization

GENESIS HOSPICE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHARLINE BRANDON RN (ADMINISTRATOR)
(662) 846-0922
Entity
Organization

Contact information

Practice address
201 W SUNFLOWER RD, POB 1888, CLEVELAND, MS 38732-2637
(662) 846-0922
(662) 846-0833
Mailing address
201 W SUNFLOWER RD, POB 1888, CLEVELAND, MS 38732-2637
(662) 846-0922
(662) 846-0833

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00770306
MS
01
4070046
BLUE CROSS BLUE SHIELD
MS
Enumeration date
09/25/2006
Last updated
08/22/2020
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