Organization Name: | GENESIS HOSPICE CARE |
NPI Number: | 1518030337 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLINE BRANDON (CEO) |
Mailing Address: | 201 West Sunflower Road Pob 1888 Cleveland |
State: | MS US |
Postal Code: | 38732 |
Phone Number: | 6628460922 |
Fax Number: | 6628460833 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |