Organization Name: | GENESIS HOSPICE CARE, LLC |
NPI Number: | 1992027197 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLINE BRANDON (ADMINSITRATOR) |
Mailing Address: | 135 Bounds St Ste C Jackson |
State: | MS US |
Postal Code: | 392064121 |
Phone Number: | 6013218812 |
Fax Number: | 6013210954 |
NPI Enumeration Date: | 02/16/2010 |
NPI Last Update Date: | 02/16/2010 |
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: |