Organization
COMMUNITY HOSPICE, LLC
Active
Other names
Community Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
100 PARKGATE DRIVE EXT STE 103, TUPELO, MS 38801-3045
(662) 823-9850
(662) 823-9851
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
102
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09236855
—
MS
Enumeration date
04/25/2006
Last updated
10/12/2023
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