| Organization Name: | OMEGA HOSPICE, LLC |
| NPI Number: | 1568479699 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAMONA KAYE MATTHEWS (CEO/ADMINISTRATOR) |
| Mailing Address: | 970 Swinnea Rdg Suite 202 Southaven |
| State: | MS US |
| Postal Code: | 386716037 |
| Phone Number: | 6625363191 |
| Fax Number: | 6625363196 |
| NPI Enumeration Date: | 08/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 108 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |