Organization
MID-SOUTH HOME CARE SERVICES, LLC
Active
Other names
Kindred Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VP OF LICENSURE)
(913) 814-2013
Entity
Organization
Contact information
Practice address
1800 W MASON ST STE A, GREEN BAY, WI 54303-2333
(920) 471-4761
(920) 471-4762
Mailing address
655 BRAWLEY SCHOOL RD STE 200, MOORESVILLE, NC 28117-9601
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
Other
Enumeration date
04/02/2020
Last updated
09/23/2022
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