National Provider Identifier Database

PROVIDENCE HOSPICE SOUTH LLC
Hospice Care, Community Based


Contact Information

PROVIDENCE HOSPICE SOUTH, LLC
811 REBECCA AVE
HATTIESBURG, MS39401
Phone: 601-705-0360
Fax: 601-705-0365
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HOSPICE SOUTH, LLC

NPI Number 1508814708
Legal business name
LBN
PROVIDENCE HOSPICE SOUTH, LLC
Authorized official MICHELLE MEEKS - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/04/2006
Last updated 04/04/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 138
  • MS Medicaid: 08158561

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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