Organization Name: | MID DELTA HOSPICE OF CANTON, INC. |
NPI Number: | 1316900962 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLARA TAYLOR REED (CEO) |
Mailing Address: | 1150 E Peace St Canton |
State: | MS US |
Postal Code: | 390464900 |
Phone Number: | 6018552400 |
Fax Number: | 6018552429 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |