Eternity Hospice INC
NPI #1730125949 in Indianola, Mississippi
Provider Information
- NPI Number
- 1730125949
- Entity Type
- Organization
- Organization Name
- Eternity Hospice INC
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Jun 22, 2006
- Last Updated
- Nov 13, 2007
Practice Location
- Address
- 417 HIGHWAY 82 E STE 23
- City
- Indianola
- State
- Mississippi
- ZIP Code
- 38751-2315
- Phone
- (662) 887-3380
Authorized Official
- Name
- CHARLES L FAIRLEY
- Title
- PRESIDENT
- Phone
- (601) 517-0025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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