Organization
SHEPHERD HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL KEYES (ADMINISTRATOR)
(662) 681-5956
Entity
Organization
Contact information
Practice address
106 W BANKHEAD ST, NEW ALBANY, MS 38652-3313
(662) 539-7123
(662) 539-7086
Mailing address
106 W BANKHEAD ST, NEW ALBANY, MS 38652-3313
(662) 539-7123
(662) 539-7086
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
05/18/2020
Last updated
08/06/2020
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