| NPI | 1336581982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISHOLA LATRAY FORD Adm. 601-488-4580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MS ms25wof) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2014-01-14 |