| NPI | 1205945128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SHIVE Administrator 662-751-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MS 134) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |