| Organization Name: | HOSPICE ADVANTAGE, LLC. |
| NPI Number: | 1184910945 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAYE MYNSBERGE (COO) |
| Mailing Address: | 1865 Lakeland Dr Suite A Jackson |
| State: | MS US |
| Postal Code: | 392164959 |
| Phone Number: | 6019569755 |
| Fax Number: | 6019560743 |
| NPI Enumeration Date: | 06/21/2011 |
| NPI Last Update Date: | 05/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |