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General NPI Number Information
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NPI Number | 1518256460
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Entity Type | Organization
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Legal Business Name | MERCY HOSPICE LLC
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1410 WOODED DRIVE
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City | GRENADA
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State | MS
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Zip | 38901
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Country | US
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Telephone | 662-226-4246
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Fax | 662-226-1097
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Provider Business Mailing Address
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Address Line | PO BOX 2130
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City | DAPHNE
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State | AL
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Zip | 36526-2130
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Country | US
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Telephone | 334-686-0138
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Fax | 205-652-9110
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Authorized Official
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Title or Position | CEO
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Name | LEWIS C BLAIR
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Credential |
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Telephone | 205-652-6167
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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 | 92
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License Number State | MS
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