| NPI | 1275631699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE CHERRY Administrator 662-843-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MS 251600) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: MS 00923355) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-11-14 |