| Organization Name: | HOSPICE ADVANTAGE, LLC. |
| NPI Number: | 1669753356 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAYANNE MYNSBERGE (COO) |
| Mailing Address: | 280 S Thomas St Suite 101 Tupelo |
| State: | MS US |
| Postal Code: | 388014302 |
| Phone Number: | 6628403434 |
| Fax Number: | 6626804592 |
| NPI Enumeration Date: | 09/08/2011 |
| NPI Last Update Date: | 01/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |