Organization Name: | LION HOSPICE & PALLIATIVE CARE, LLC |
NPI Number: | 1477873305 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDELL S BRANDON (OWNER) |
Mailing Address: | 2001 Hospital Drive Suite 4 Clarksdale |
State: | MS US |
Postal Code: | 386147205 |
Phone Number: | 6628225844 |
Fax Number: | 6626211172 |
NPI Enumeration Date: | 06/02/2010 |
NPI Last Update Date: | 06/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |