NPI 1467481101 · live from the CMS NPI Registry
Eternity Hospice INC.
Hospice Care, Community Based in Gulfport, MS. National Provider Identifier 1467481101, active.
NPI record
| NPI | 1467481101 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 12000 Mobile Ave, Gulfport, MS 39503 |
| Practice phone | 228-832-7211 |
| Enumerated | July 3, 2006 |
| Last updated | March 26, 2009 |
| Authorized official | Charles Fairley, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 251617 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.