Organization
OUR FAMILY HOME HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE GARNER (PRESIDENT)
(601) 362-1712
Entity
Organization
Contact information
Practice address
2570 BAILEY AVE, SUITE 10, JACKSON, MS 39213-6905
(601) 362-1712
(601) 362-7726
Mailing address
PO BOX 1123, JACKSON, MS 39283-1233
(601) 362-1712
(601) 362-7726
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
058
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770343
—
MS
Enumeration date
04/26/2007
Last updated
08/22/2020
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