| Organization Name: | HERITAGE HOSPICE, INC |
| NPI Number: | 1205845989 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICKY E BURGESS (ADMINISTRATOR) |
| Mailing Address: | 301 E Waldron St Corinth |
| State: | MS US |
| Postal Code: | 388344756 |
| Phone Number: | 6622865333 |
| Fax Number: | 6622860052 |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 070 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |