Organization
GENESIS HOSPICE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLINE BRANDON RN (ADMINISTRATOR)
(662) 846-0100
Entity
Organization
Contact information
Practice address
563 HWY 6 E., BATESVILLE, MS 38606-3002
(662) 563-7302
(662) 563-6362
Mailing address
563 HWY 6 E., BATESVILLE, MS 38606-3002
(662) 563-7302
(662) 563-6362
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04788594
—
MS
Enumeration date
09/26/2006
Last updated
11/13/2009
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