NPI 1548218738

Providence Hospice, LLC

Organisation Community Based Hospice Care Agency Jackson, MS

Practice location

Address: 13 Northtown Dr Suite 220, Jackson, MS 39211-3047
Phone: (601) 956-9755
Fax: (601) 956-0743
Mailing address: 13 Northtown Dr, Jackson, MS 39211-3047

Authorised official

Name: Richard E Keyes
Title: Managing Member
Phone: (601) 956-9755

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X Licence 090 (MS)

Other Hospice Care, Community Based providers in Mississippi →

Registry record

NPI: 1548218738
Entity type: Organization
NPI issued: 4 May 2006
Record last updated: 18 Dec 2007

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.