Organization
VICTORYHOMEHEALTHANDHOSPICE20
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE NOAH (CEO)
(662) 621-2290
Entity
Organization
Contact information
Practice address
155 BENNETT RD, CLARKSDALE, MS 38614-8822
(662) 645-2290
(662) 621-2290
Mailing address
155 BENNETT RD, CLARKSDALE, MS 38614-8822
(662) 645-2290
(662) 621-2290
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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