Organization Name: | NEW-ERA HOSPICE, LLC |
NPI Number: | 1740347335 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NGOZI EDMUNDS (CEO/ADMINISTRATOR) |
Mailing Address: | 8869 Centre St 3 & 4 Southaven |
State: | MS US |
Postal Code: | 386711725 |
Phone Number: | 6623427023 |
Fax Number: | 6623427089 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |