SAINT JUDE HOSPICE-MISSISSIPPILLC NPI 1033426820

NPI Information

SAINT JUDE HOSPICE-MISSISSIPPI,LLC is a hospice care community based in Tupelo, MS. SAINT JUDE HOSPICE-MISSISSIPPI,LLC NPI is 1033426820. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Jude Hospice.

The provider's business location address is:

3166 W JACKSON ST
SUITE 2
TUPELO, MS
ZIP 38801-154
Phone: (662) 841-5907
Fax: (662) 841-5910

The provider's authorized official is Brian M. Wegener .
The authorized official title is Chief Financial Officer and has the following contact phone number (515) 221-9155.

The enumeration date for this NPI number is 9/1/2010 and was last updated on 3/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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