Organization
ASERACARE HOSPICE - PHILADELPHIA, LLC
Active
Other names
AseraCare Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY A RASMUSSEN-JONES (SECRETARY)
(479) 201-4840
Entity
Organization
Contact information
Practice address
250 CANAL PL, PHILADELPHIA, MS 39350-8927
(901) 758-1450
Mailing address
250 CANAL PL, PHILADELPHIA, MS 39350-8927
(901) 758-1450
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070096
BCBS
—
05
—
03459891
—
MS
Enumeration date
06/03/2006
Last updated
12/17/2008
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