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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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