Organization Name: | HOMECARE HOSPICE INC |
NPI Number: | 1326118522 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRIPP FRANCIS (CEO) |
Mailing Address: | 16482 Highway 21 Walnut Grove |
State: | MS US |
Postal Code: | 391896180 |
Phone Number: | 6016257840 |
Fax Number: | 6016257848 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 02/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH1000X |
License Number: | 078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Hospice |
Taxonomy Definition: |