| NPI | 1942320262 |
|---|---|
| Former Legal Business Name | HEAVENLY HOSPICE |
| Entity Type | Organization |
| Authorized Contact | APRIL M MOORE Administrator 662-286-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2015-11-03 |