Organization
HOSPICE PROVIDERS, LLC
Active
Other names
Hospice In His Hands
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SHELTON (MEMBER)
(601) 956-8276
Entity
Organization
Contact information
Practice address
242 THAGGARD RD, CARTHAGE, MS 39051-9517
(601) 267-6830
(601) 267-6690
Mailing address
13 NORTHTOWN DR, SUITE 220, JACKSON, MS 39211-3047
(601) 956-8276
(601) 709-0832
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
067
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0770517
—
MS
Enumeration date
10/26/2010
Last updated
10/26/2010
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