Organization
REVELATION HOSPICE AND PALLIATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE' KIRKLAND RN (CEO)
(662) 719-9209
Entity
Organization
Contact information
Practice address
89 DELTA AVE, SUITE 104, CLARKSDALE, MS 38614-2749
(662) 719-9209
Mailing address
89 DELTA AVE, SUITE 104, CLARKSDALE, MS 38614-2749
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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