CANON HOSPICE-MISSISSIPPI INC NPI 1417900465

NPI Information

CANON HOSPICE-MISSISSIPPI INC is a hospice care community based in Gulfport, MS. CANON HOSPICE-MISSISSIPPI INC NPI is 1417900465. The provider is registered as an organization entity type.
The provider Is Doing Business As Canon Hospice.

The provider's business location address is:

1520 BROAD AVE
SUITE 500
GULFPORT, MS
ZIP 39501-601
Phone: (228) 575-6251
Fax: (228) 575-8225

The provider's authorized official is Shiva K Akula .
The authorized official title is President and has the following contact phone number (504) 669-3825.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 9/2/2014.

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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