| Organization Name: | ST JOSEPH HOSPICE OF SOUTHERN MISSISSIPPI, LLC |
| NPI Number: | 1356625008 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK T MITCHELL (MANAGING MEMBER) |
| Mailing Address: | 115 College Ave W Wiggins |
| State: | MS US |
| Postal Code: | 395773258 |
| Phone Number: | 6019282925 |
| Fax Number: | 6019289858 |
| NPI Enumeration Date: | 09/29/2011 |
| NPI Last Update Date: | 02/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | APPLIED |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |