Organization · Type 2 NPI

Providence Hospice South, LLC

Community Based Hospice Care Agency · Hattiesburg, MS

NPI number 1508814708 Active

Practice location

811 Rebecca Ave
Hattiesburg, MS 39401

Call (601) 705-0360 Map

Fax (601) 705-0365

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000X138 (MS)

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

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About NPI 1508814708

Providence Hospice South, LLC's National Provider Identifier is 1508814708, issued on May 4, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Apr 4, 2011.