PROVIDENCE HOSPICE SOUTH, LLC; NPI #1508814708

Contact Information

PROVIDENCE HOSPICE SOUTH, LLC

811 REBECCA AVE
HATTIESBURG, MS 39401

Phone: 601-705-0360
Fax: 601-705-0365
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for PROVIDENCE HOSPICE SOUTH, LLC

NPI # 1508814708

LBN Legal business name PROVIDENCE HOSPICE SOUTH, LLC

Authorized official MICHELLE MEEKS - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/04/2006

Last updated 04/04/2011 - About 15 years ago

Identifiers

MS	License #	138
MS	Medicaid	08158561

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PROVIDENCE HOSPICE SOUTH, LLC

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for PROVIDENCE HOSPICE SOUTH, LLC

Reviews for PROVIDENCE HOSPICE SOUTH, LLC