| NPI | 1730125949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES L FAIRLEY President 601-517-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MS 093) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-11-13 |