Organization
NEW COVENANT HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD KEYES (MANAGING MEMBER)
(662) 843-3395
Entity
Organization
Contact information
Practice address
804 1ST ST, SUITE 1, CLEVELAND, MS 38732-2310
(662) 843-3395
(662) 843-3903
Mailing address
804 1ST ST, SUITE 1, CLEVELAND, MS 38732-2310
(662) 843-3395
(662) 843-3903
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06157753
—
MS
Enumeration date
12/08/2006
Last updated
12/18/2007
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