institution
Providence Hospice South, Llc
Community Based Hospice Care Agency in Hattiesburg, Mississippi
NPI 1508814708

Providence Hospice South, Llc is a Community Based Hospice Care Agency based in Hattiesburg, MS. Providence Hospice South, Llc practices in Hattiesburg, MS. The NPI Number for Providence Hospice South, Llc is 1508814708 and holds a License No. 138 (Mississippi).

The current practice location address for Providence Hospice South, Llc is 811 Rebecca Ave, Hattiesburg, MS and can be reached out via phone at 601-705-0360 and via fax at 601-705-0365. You can also correspond with Providence Hospice South, Llc through the mailing address at 811 REBECCA AVE, HATTIESBURG, MS - 39401 (mailing address contact number: 601-705-0360).

Location: 811 Rebecca Ave, Hattiesburg, MS, 39401
institution
Provider Profile Details
NPI Number
1508814708
Provider Name
Providence Hospice South, Llc
Credential
Provider Entity Type
Organization
Address
811 Rebecca Ave, Hattiesburg, MS, 39401
Phone Number
601-705-0360
Fax Number
601-705-0365
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08158561 05 MS
institution
Provider Business Practice Location Address Details
Address
811 Rebecca Ave
City
State
Zip
39401
Phone Number
601-705-0360
Fax Number
601-705-0365
person
Provider Business Mailing Address Details
Address
811 Rebecca Ave
City
State
Zip
39401
Phone Number
601-705-0360
Fax Number
601-705-0365
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
138 (Mississippi)
Definition
Definition to come...
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