Organization Name: | PHYSICIAN HOSPICE CARE 2 LLC |
NPI Number: | 1588797872 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA GRIFFIN (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 132 Fairmont St Ste F Clinton |
State: | MS US |
Postal Code: | 390564721 |
Phone Number: | 6013669551 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2007 |
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: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |