NPI 1508814708

Providence Hospice South, LLC

Organisation Community Based Hospice Care Agency Hattiesburg, MS

Practice location

Address: 811 Rebecca Ave, Hattiesburg, MS 39401
Phone: (601) 705-0360
Fax: (601) 705-0365
Mailing address: 811 Rebecca Ave Providence Hospice South, Hattiesburg, MS 39401

Authorised official

Name: Michelle E Meeks
Title: Administrator
Phone: (601) 705-0360

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X Licence 138 (MS)

Other Hospice Care, Community Based providers in Mississippi →

Registry record

NPI: 1508814708
Entity type: Organization
NPI issued: 4 May 2006
Record last updated: 4 Apr 2011

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.