NPI 1730125949 · live from the CMS NPI Registry
Eternity Hospice INC
Hospice Care, Community Based in Indianola, MS. National Provider Identifier 1730125949, active.
NPI record
| NPI | 1730125949 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 417 Highway 82 E Ste 23, Indianola, MS 38751 |
| Practice phone | 662-887-3380 |
| Mailing address | Po Box 686, Indianola, MS 38751 |
| Enumerated | June 22, 2006 |
| Last updated | November 13, 2007 |
| Authorized official | Charles Fairley, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 093 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.