Healthcare Provider Details

I. General information

NPI: 1457587644
Provider Name (Legal Business Name): HEALTH CARE OPTIONS HOSPICE OF MISSISSIPPI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2009
Last Update Date: 03/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2941 TERRY RD SUITE 1
JACKSON MS
39212-3073
US

IV. Provider business mailing address

2941 TERRY RD
JACKSON MS
39212-3073
US

V. Phone/Fax

Practice location:
  • Phone: 769-216-3210
  • Fax: 769-216-3211
Mailing address:
  • Phone: 769-216-3210
  • Fax: 769-216-3211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANNETTE AUSTIN
Title or Position: CEO
Credential: RN
Phone: 225-261-0160