| Organization Name: | SAINT JUDE HOSPICE-MISSISSIPPI,LLC |
| NPI Number: | 1033426820 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN M. WEGENER (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 3166 W Jackson St Suite 2 Tupelo |
| State: | MS US |
| Postal Code: | 388017154 |
| Phone Number: | 6628415907 |
| Fax Number: | 6628415910 |
| NPI Enumeration Date: | 09/01/2010 |
| NPI Last Update Date: | 03/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 094 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |