| Organization Name: | GENESIS HOSPICE CARE |
| NPI Number: | 1164593158 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLINE BRANDON (CEO) |
| Mailing Address: | 201 Highway 82 W Indianola |
| State: | MS US |
| Postal Code: | 387512141 |
| Phone Number: | 6628871274 |
| Fax Number: | 6628877263 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 10/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |