Organization Name: | AT HOME HOSPICE CARE, INC. |
NPI Number: | 1982945978 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOROTHY JEANETTE FELTON (CEO) |
Mailing Address: | 5015 I 55 N Ste A Jackson |
State: | MS US |
Postal Code: | 392064306 |
Phone Number: | 6013621701 |
Fax Number: | 6013620405 |
NPI Enumeration Date: | 03/15/2013 |
NPI Last Update Date: | 03/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |