MEDICARE: HEALTH CARE OPTIONS HOSPICE OF MISSISSIPPI LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1457587644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE OPTIONS HOSPICE OF MISSISSIPPI LLC

Provider Business Mailing Address
First Line	:	2941 TERRY RD
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39212-3073
Country	:	US
Telephone Number	:	769-216-3210
Fax Number	:	769-216-3211

Provider Business Practice Location Address
First Line	:	2941 TERRY RD
Second Line	:	SUITE 1
City	:	JACKSON
State	:	MS
Zip	:	39212-3073
Country	:	US
Telephone Number	:	769-216-3210
Fax Number	:	769-216-3211

Authorized Official
Title or Position	:	CEO
Name	:	MRS. ANNETTE AUSTIN
Credential	:	RN
Telephone Number	:	225-261-0160

Provider Enumeration Date	:	06/02/2009
Last Update Date	:	03/30/2011

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