Organization
LIFE SOURCE SERVICES, LLC
Active
Parent organization
LIFE SOURCE SERVICES, LLC
Other names
Pax Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE SOURCE SERVICES, LLC
Authorized official
TONI H. PARKINSON (PRESIDENT ASI MANAGEMENT)
(601) 709-1408
Entity
Organization
Contact information
Practice address
359 TOWNE CENTER BLVD STE 500, RIDGELAND, MS 39157-4862
(601) 991-3840
Mailing address
359 TOWNE CENTER BLVD STE 500, RIDGELAND, MS 39157-4862
(601) 991-3840
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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