NPI 1013002724

Forrest County General Hospital

Organisation Community Based Hospice Care Agency Hattiesburg, MS

Practice location

Address: 1414 S 28th Ave, Hattiesburg, MS 39402-3107
Phone: (601) 288-4344
Fax: (601) 288-2401

Authorised official

Name: James Larry Russum
Title: Business Manager
Phone: (601) 288-4344

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X Licence 008 (MS)

Other Hospice Care, Community Based providers in Mississippi →

Registry record

NPI: 1013002724
Entity type: Organization
NPI issued: 4 Oct 2006
Record last updated: 30 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.