Organization · Type 2 NPI

Life Source Services, LLC

Community Based Hospice Care Agency · Madison, MS

NPI number 1417915091 Active

Practice location

129 Executive Dr, Suite C
Madison, MS 39110-8473

Fax (601) 898-1560

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	079 (LA)

Community Based Hospice Care Agency: Definition to come...

NPI record

NPI: 1417915091
Entity type: Organization (Type 2)
Issued: May 3, 2006
Last updated: Jan 14, 2021
Status: Active

Other names

<unavail>
Pax Hospice (madison) · doing business as
Pax Hospice (madison) · doing business as

Authorized official

Ms. Toni Parkinson
Authorized Representative
(601) 709-1408

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About NPI 1417915091

Life Source Services, LLC's National Provider Identifier is 1417915091, issued on May 3, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Madison, MS. The record was last updated on Jan 14, 2021.