| Organization Name: | GRENADA NORTH DELTA HOSPICE & PALLIATIVE SERVICES, LLC |
| NPI Number: | 1457678625 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND E VALLIER (ADMINISTRATOR) |
| Mailing Address: | 141 N Main St Drew |
| State: | MS US |
| Postal Code: | 387373406 |
| Phone Number: | 6627450587 |
| Fax Number: | 6627450589 |
| NPI Enumeration Date: | 04/28/2010 |
| NPI Last Update Date: | 12/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 137 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |