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Organization

GTPDD HOSPICE

Active
Parent organization
GTPDD
Organization subpart
Yes

Provider details

NPI number
Legal business name
GTPDD
Authorized official
MR. RUPERT 'RUDY' JOHNSON (EXECUTIVE DIRECTOR)
(662) 324-7860
Entity
Organization

Contact information

Practice address
106 MILEY DR, STARKVILLE, MS 39759-7728
(662) 324-7860
(662) 324-1911
Mailing address
106 MILEY DR, STARKVILLE, MS 39759-7728
(662) 324-7860
(662) 324-1911

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
MS

Other

Enumeration date
12/11/2013
Last updated
07/21/2022
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