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NPI 1104631191 · live from the CMS NPI Registry

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Hospice Care, Community Based in Gluckstadt, MS. National Provider Identifier 1104631191, active.

NPI record

NPI1104631191 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location272 Calhoun Station Pkwy Ste 2179, Gluckstadt, MS 39110
Practice phone662-803-9168
EnumeratedFebruary 8, 2025
Last updatedFebruary 20, 2025
Authorized officialJeresia Triplett, Manager
Other namesTransunion Intermediate Holdings, INC.

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.