NPI 1124065156 · live from the CMS NPI Registry
Eternity Hospice INC
Hospice Care, Community Based in Laurel, MS. National Provider Identifier 1124065156, active.
NPI record
| NPI | 1124065156 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 337 Ellisville Blvd, Laurel, MS 39440 |
| Practice phone | 601-649-4105 |
| Enumerated | May 31, 2006 |
| Last updated | November 13, 2007 |
| Authorized official | Donald Pugh, Vice President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 127 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.