Organization
SANCTUARY HOSPICE HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE HAND (ADMINISTRATOR)
(662) 844-2111
Entity
Organization
Contact information
Practice address
5159 W MAIN ST, TUPELO, MS 38801-0200
(662) 844-2111
(662) 844-2354
Mailing address
PO BOX 2177, TUPELO, MS 38803-2177
(662) 844-2111
(662) 844-2354
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
136
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070104
BLUE CROSS BLUE SHIELD
MS
05
—
02904881
—
MS
Enumeration date
07/22/2006
Last updated
04/28/2015
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