NPI 1124031521

Life-Time Hospice LLC

Organisation Preferred Provider Organization McComb, MS

Practice location

Address: 3106 Highway 44 E, McComb, MS 39648-8511
Phone: (601) 876-1120
Mailing address: 190 Airline Hwy, Tylertown, MS 39667-7187

Authorised official

Name: Bessie L. Magee
Title: Owner
Phone: (601) 876-6784

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence P228311 (MS)

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Registry record

NPI: 1124031521
Entity type: Organization
NPI issued: 15 Aug 2006
Record last updated: 22 Aug 2020

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.