| Organization Name: | JACAROLYN HOSPICE & PALLIATIVE SVC |
| NPI Number: | 1134564529 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERTA ALLEN (ADMINSTRATOR) |
| Mailing Address: | 715 Murphy St Cleveland |
| State: | MS US |
| Postal Code: | 387323921 |
| Phone Number: | 6625884026 |
| Fax Number: | |
| NPI Enumeration Date: | 04/30/2013 |
| NPI Last Update Date: | 04/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |