Organization
CAMELLIA HOSPICE OF SOUTHWEST MS, LLC
Active
Parent organization
ENHABIT, INC.
Other names
Enhabit Hospice of Southwest Mississippi
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENHABIT, INC.
Authorized official
JULIE DIANE JOLLEY (EVP OF HOME HEALTH OPERATIONS)
(214) 239-6500
Entity
Organization
Contact information
Practice address
1301 HARRISON AVE STE B, MCCOMB, MS 39648-2829
(601) 684-5033
(601) 684-2758
Mailing address
6688 N CENTRAL EXPY STE 1300, DALLAS, TX 75206-3950
(214) 239-6500
(214) 239-6581
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
190
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2479571
—
MS
Enumeration date
04/07/2009
Last updated
12/31/2024
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