| NPI | 1457678625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND E VALLIER Administrator 662-393-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MS 132) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: MS 137) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2013-12-03 |