Life Source Services, LLC
NPI #1417915091 in Madison, Mississippi
Provider Information
- NPI Number
- 1417915091
- Entity Type
- Organization
- Organization Name
- Life Source Services, LLC
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- May 3, 2006
- Last Updated
- Jan 14, 2021
Practice Location
- Address
- 129 EXECUTIVE DR
- Address 2
- SUITE C
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-8473
- Phone
- (601) 898-1510
Authorized Official
- Name
- MS. TONI PARKINSON
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (601) 709-1408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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| Helping Hands Hospice | |
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