Organization
MERCY HOSPICE LLC
Active
Other names
LEGACY HOSPICE OF THE SOUTH
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS C BLAIR (CEO)
(205) 652-6167
Entity
Organization
Contact information
Practice address
1410 WOODED DRIVE, GRENADA, MS 38901
(662) 226-4246
(662) 226-1097
Mailing address
PO BOX 2130, DAPHNE, AL 36526-2130
(334) 686-0138
(205) 652-9110
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
92
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00933011
—
MS
Enumeration date
03/31/2011
Last updated
03/21/2025
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