Organization
HOSPICE CARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA LYNN ZDENEK LPN (ADMINISTRATOR)
(601) 776-8880
Entity
Organization
Contact information
Practice address
114 E DONALD ST, QUITMAN, MS 39355-2025
(601) 776-8880
(601) 776-8881
Mailing address
114 E DONALD ST, QUITMAN, MS 39355-2025
(601) 776-8880
(601) 776-8881
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08673266
—
MS
Enumeration date
07/13/2006
Last updated
07/21/2022
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