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NPI 1831411024 · live from the CMS NPI Registry

Genesis Hospice Care, LLC

Hospice Care, Community Based in Clarksdale, MS. National Provider Identifier 1831411024, active.

NPI record

NPI1831411024 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location2001 Hospital Dr, Clarksdale, MS 38614
Practice phone662-621-1171
Mailing addressPo Box 1888, Cleveland, MS 38732
EnumeratedFebruary 16, 2010
Last updatedFebruary 16, 2010
Authorized officialCharline Brandon, Administrator

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.