National Provider Identifier Database

CELESTIAL COMFORT CARE HOSPICE
Hospice Care, Community Based


Contact Information

CELESTIAL COMFORT CARE HOSPICE
110 YAZOO AVE. SUITE 212
CLARKSDALE, MS38614
Phone: 662-592-4213
Fax: 662-592-4210
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for CELESTIAL COMFORT CARE HOSPICE

NPI Number 1205186947
Legal business name
LBN
CELESTIAL COMFORT CARE HOSPICE
Authorized official BETTY GOOCH - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/10/2012
Last updated 09/11/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 205

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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