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Providence Hospice, Llc
Community Based Hospice Care Agency in Jackson, Mississippi
NPI 1548218738

Providence Hospice, Llc is a Community Based Hospice Care Agency based in Jackson, MS. Providence Hospice, Llc practices in Jackson, MS. The NPI Number for Providence Hospice, Llc is 1548218738 and holds a License No. 090 (Mississippi).

The current practice location address for Providence Hospice, Llc is 13 Northtown Dr, Jackson, MS and can be reached out via phone at 601-956-9755 and via fax at 601-956-0743.

Location: 13 Northtown Dr, Jackson, MS, 39211-3047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548218738
Provider Name
Providence Hospice, Llc
Credential
Provider Entity Type
Organization
Address
13 Northtown Dr, Jackson, MS, 39211-3047
Phone Number
601-956-9755
Fax Number
601-956-0743
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08734861 05 MS
institution
Provider Business Practice Location Address Details
Address
13 Northtown Dr
City
Jackson
State
Mississippi
Zip
39211-3047
Phone Number
601-956-9755
Fax Number
601-956-0743
person
Provider Business Mailing Address Details
Address
13 Northtown Dr
City
Jackson
State
Mississippi
Zip
39211-3047
Phone Number
601-956-9755
Fax Number
601-956-0743
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
090 (Mississippi)
Definition
Definition to come...
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