Organization
MONETTE HOSPICE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY ALLEN LICENSED PRACTICAL N (CEO, LPN)
(662) 745-0261
Entity
Organization
Contact information
Practice address
151 N MAIN ST, DREW, MS 38737-3406
(662) 745-0261
(662) 745-0263
Mailing address
151 N MAIN ST, DREW, MS 38737-3406
(662) 745-0261
(662) 745-0263
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00285791
—
MS
Enumeration date
12/11/2006
Last updated
03/19/2008
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