Organization
PHYSICIANS HOSPICE, INC
Active
Other names
Charity Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E WALLER M.D. (PRESIDENT)
(662) 326-3500
Entity
Organization
Contact information
Practice address
340 GETWELL ST, MARKS, MS 38646-9785
(662) 326-7323
(662) 326-6348
Mailing address
PO BOX 387, MARKS, MS 38646-0387
(662) 326-7323
(662) 326-6348
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
055
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0770431
—
MS
Enumeration date
08/31/2006
Last updated
08/22/2020
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