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Organization

GULF COAST HOSPICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK AULTMAN (DIRECTOR)
(228) 875-5447
Entity
Organization

Contact information

Practice address
5703 GULF TECH DR, OCEAN SPRINGS, MS 39564-8200
(228) 875-5447
Mailing address
5703 GULF TECH DR, OCEAN SPRINGS, MS 39564-8200

Taxonomy

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

Other

Enumeration date
12/08/2006
Last updated
08/22/2020
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