NPI 1417039389 · live from the CMS NPI Registry
Genesis Hospice Care, INC
Hospice Care, Community Based in Indianola, MS. National Provider Identifier 1417039389, active.
NPI record
| NPI | 1417039389 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 201 Highway 82 W, Indianola, MS 38751 |
| Practice phone | 662-887-1274 |
| Mailing address | 700 E Sunflower Rd, Cleveland, MS 38732 |
| Enumerated | October 20, 2006 |
| Last updated | March 16, 2010 |
| Authorized official | Charline Brandon, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.