Organization Name: | TRINITY HOSPICE OF MISSISSIPPI, LLC |
NPI Number: | 1720039092 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY MARIE GLASSCOCK (BILLING MANAGER) |
Mailing Address: | 201 Methodist Blvd Hattiesburg |
State: | MS US |
Postal Code: | 394021297 |
Phone Number: | 2288753527 |
Fax Number: | 2144329220 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 08/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |