| Organization Name: | COMMUNITY HOSPICE, LLC |
| NPI Number: | 1336372127 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD D STELLY (PRESIDENT) |
| Mailing Address: | 710 S 28th Ave Suite C Hattiesburg |
| State: | MS US |
| Postal Code: | 394022585 |
| Phone Number: | 6013365832 |
| Fax Number: | 6012555095 |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 05/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 184 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |