National Provider Identifier Database

MID DELTA HOSPICE NORTH INC
Hospice Care, Community Based


Contact Information

MID-DELTA HOSPICE NORTH INC
230-2 GOODMAN ROAD
SUITE 200
SOUTHAVEN, MS38671
Phone: 662-399-2860
Fax: 662-901-2048
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for MID-DELTA HOSPICE NORTH INC

NPI Number 1184687725
Legal business name
LBN
MID-DELTA HOSPICE NORTH INC
Authorized official ALEX MAURICIO - (CEO/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/06/2006
Last updated 02/19/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 111

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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