Organization
HOMETOWN HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ARVLE KINGERY (PRESIDENT CEO)
(601) 626-7277
Entity
Organization
Contact information
Practice address
8366 HIGHWAY 19 N, COLLINSVILLE, MS 39325-9395
(601) 626-7277
(601) 626-8988
Mailing address
8366 HIGHWAY 19 N, COLLINSVILLE, MS 39325-9395
(601) 626-7277
(601) 626-8988
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
046
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070039
BC BS
MS
05
—
0770285
—
MS
Enumeration date
05/08/2007
Last updated
07/01/2008
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