Organization
DELTA AREA HOSPICE CARE LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD B. BLAKELY (PRESIDENT)
(662) 335-7040
Entity
Organization
Contact information
Practice address
522 ARNOLD AVE, GREENVILLE, MS 38701-5319
(662) 335-7040
(662) 335-7027
Mailing address
PO BOX 5915, GREENVILLE, MS 38704-5915
(662) 335-7040
(662) 335-7027
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
012
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770012
—
MS
01
—
251514
MEDICARE HOSPICE
MS
Enumeration date
10/11/2006
Last updated
03/19/2010
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