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Life Source Services, Llc
Community Based Hospice Care Agency in Greenwood, Mississippi
NPI 1295793982

Life Source Services, Llc is a Community Based Hospice Care Agency based in Greenwood, MS. Life Source Services, Llc practices in Greenwood, MS. The NPI Number for Life Source Services, Llc is 1295793982 and holds a License No. 126 (Mississippi).

The current practice location address for Life Source Services, Llc is 115 Fulton St, Greenwood, MS and can be reached out via phone at 662-451-9912 and via fax at 662-451-9915.

Location: 115 Fulton St, Greenwood, MS, 38930-4361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295793982
Provider Name
Life Source Services, Llc
Credential
Provider Entity Type
Organization
Address
115 Fulton St, Greenwood, MS, 38930-4361
Phone Number
662-451-9912
Fax Number
662-451-9915
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
03332314 05 MS
institution
Provider Business Practice Location Address Details
Address
115 Fulton St
City
Greenwood
State
Mississippi
Zip
38930-4361
Phone Number
662-451-9912
Fax Number
662-451-9915
person
Provider Business Mailing Address Details
Address
115 Fulton St
City
Greenwood
State
Mississippi
Zip
38930-4361
Phone Number
662-451-9912
Fax Number
662-451-9915
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
126 (Mississippi)
Definition
Definition to come...
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