Organization
SOUTHERNCARE, INC
Active
Other names
Kindred Hospice - Vicksburg
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KLEBERG (SVP OF LEGAL AND COMPLIANCE)
(704) 664-2876
Entity
Organization
Contact information
Practice address
1990 S FRONTAGE RD STE I, VICKSBURG, MS 39180-5232
(601) 924-8285
(601) 924-8788
Mailing address
655 BRAWLEY SCHOOL RD STE 200, MOORESVILLE, NC 28117-9601
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770385
—
MS
Enumeration date
11/08/2007
Last updated
03/25/2019
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