Organization Name: | HOMECARE HOSPICE SOUTH, LLC |
NPI Number: | 1518219773 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES W FRANCIS (OWNER) |
Mailing Address: | 100 Walnut Cir Suite 110 Hattiesburg |
State: | MS US |
Postal Code: | 394013502 |
Phone Number: | 6015730075 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2012 |
NPI Last Update Date: | 11/26/2014 |
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: |