CAMELLIA HOSPICE OF THE GULF COAST LLC NPI 1134362106

NPI Information

CAMELLIA HOSPICE OF THE GULF COAST, LLC is a hospice care community based in Biloxi, MS. CAMELLIA HOSPICE OF THE GULF COAST, LLC NPI is 1134362106. The provider is registered as an organization entity type.
The provider Is Doing Business As Enhabit Hospice Of The Gulf Coast.

The provider's business location address is:

13155 SHRINERS BLVD STE D
BILOXI, MS
ZIP 39532-745
Phone: (228) 374-4434
Fax: (228) 436-3679

The provider's authorized official is Julie Diane Jolley .
The authorized official title is Executive Vice President and has the following contact phone number (214) 239-6500.

The CLIA number assigned to this NPI record is 25D1103891 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2009 and was last updated on 4/28/2023.

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

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