Organization
PRIME CARE HOSPICE, INC.
Active
Other names
Community Hospice Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY HENRY EIFLING (OWNER)
(662) 827-2765
Entity
Organization
Contact information
Practice address
316 N DAVIS AVE, SUITE C, CLEVELAND, MS 38732-2303
(662) 846-7600
(662) 846-7606
Mailing address
PO BOX 276, HOLLANDALE, MS 38748-0276
(662) 827-2765
(662) 827-5001
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
029
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770053
—
MS
Enumeration date
04/18/2007
Last updated
01/29/2008
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