Healthcare Provider Details
I. General information
NPI: 1780709121
Provider Name (Legal Business Name): HOPE HOSPICE & PALLATIVE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/21/2007
Last Update Date: 06/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2073 OLD HIGHWAY 61 N SUITE # 1
TUNICA MS
38676
US
IV. Provider business mailing address
PO BOX 458 2073 OLD HIGHWAY 61 NORTH SUITE # 1
TUNICA MS
38676-0458
US
V. Phone/Fax
- Phone: 662-357-0461
- Fax: 662-357-7621
- Phone: 662-357-0461
- Fax: 662-357-7621
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
LYDIA
MARIE
FRANKLIN
Title or Position: ADMINISTRATOR
Credential: FNP
Phone: 662-357-7602