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General NPI Number Information
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NPI Number | 1447668702
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Entity Type | Organization
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Legal Business Name | NEW COVENANT HOSPICE II, LLC
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 105B GRAND BLVD
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City | GREENWOOD
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State | MS
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Zip | 38930-3562
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Country | US
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Telephone | 662-827-2765
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Fax | 662-827-5001
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Provider Business Mailing Address
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Address Line | PO BOX 276
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City | HOLLANDALE
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State | MS
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Zip | 38748-0276
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Country | US
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Telephone | 662-827-2765
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Fax | 662-827-5001
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Authorized Official
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Title or Position | MANAGING/MEMBER
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Name | MR. JUSTIN HENRY EIFLING
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Credential |
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Telephone | 662-846-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 201
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License Number State | MS
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