Organization
OMEGA HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA KAYE MATTHEWS (CEO/ADMINISTRATOR)
(662) 536-3191
Entity
Organization
Contact information
Practice address
970 SWINNEA RDG, SUITE 202, SOUTHAVEN, MS 38671-6037
(662) 536-3191
(662) 536-3196
Mailing address
970 SWINNEA RDG, SUITE 202, SOUTHAVEN, MS 38671-6037
(662) 536-3191
(662) 536-3196
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
108
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05257792
—
MS
Enumeration date
08/02/2006
Last updated
08/22/2020
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