Organization
NORTH DELTA HOSPICE AND PALLIATIVE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND E VALLIER (ADMINISTRATOR/OWNER)
(901) 490-5999
Entity
Organization
Contact information
Practice address
520 GOODMAN RD E, SOUTHAVEN, MS 38671-9526
(662) 393-0170
(662) 393-0171
Mailing address
PO BOX 1798, SOUTHAVEN, MS 38671-0019
(662) 393-0170
(662) 393-0171
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
137
MS
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
05/03/2006
Last updated
03/17/2014
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