Organization
NORTH DELTA HOSPICE OF NEW ALBANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND E VALLIER (CEO)
(662) 393-0170
Entity
Organization
Contact information
Practice address
212 STARLYN AVE, NEW ALBANY, MS 38652-2423
(662) 539-7086
(662) 539-7133
Mailing address
123 STATELINE RD E, SOUTHAVEN, MS 38671-1710
(662) 393-0170
(662) 393-0171
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
213
MS
Other
Enumeration date
10/11/2012
Last updated
10/16/2012
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