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Life Source Services, Llc
Community Based Hospice Care Agency in Madison, Mississippi
NPI 1417915091

Life Source Services, Llc is a Community Based Hospice Care Agency based in Madison, MS. Life Source Services, Llc practices in Madison, MS. The NPI Number for Life Source Services, Llc is 1417915091 and holds a License No. 079 (Mississippi).

The current practice location address for Life Source Services, Llc is 129 Executive Dr, Madison, MS and can be reached out via phone at 601-898-1510 and via fax at 601-898-1560.

Location: 129 Executive Dr, Madison, MS, 39110-8473
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417915091
Provider Name
Life Source Services, Llc
Credential
Provider Entity Type
Organization
Address
129 Executive Dr, Madison, MS, 39110-8473
Phone Number
601-898-1510
Fax Number
601-898-1560
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
02580708 05 MS
institution
Provider Business Practice Location Address Details
Address
129 Executive Dr
City
Madison
State
Mississippi
Zip
39110-8473
Phone Number
601-898-1510
Fax Number
601-898-1560
person
Provider Business Mailing Address Details
Address
129 Executive Dr
City
Madison
State
Mississippi
Zip
39110-8473
Phone Number
601-898-1510
Fax Number
601-898-1560
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
079 (Louisiana)
Definition
Definition to come...
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