Organization Name: | WALK OF FAITH HOSPICE CARE LLC |
NPI Number: | 1336581982 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISHOLA LATRAY FORD (ADM.) |
Mailing Address: | 543 Highway 80 W Suite B Clinton |
State: | MS US |
Postal Code: | 390564193 |
Phone Number: | 6014884580 |
Fax Number: | 6014884580 |
NPI Enumeration Date: | 07/24/2013 |
NPI Last Update Date: | 01/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | MS25WOF |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |