Eternity Hospice Inc

LBN: Eternity Hospice Inc
Eternity Hospice Inc is an health care organization with primary practice located at 337 Ellisville Blvd , Laurel MS 39440-4523. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Eternity Hospice Inc can be contacted via phone (601) 649-4105, or through Pugh, Donald via phone (601) 517-0025.

Contact Information

Primary practice address
337 Ellisville Blvd Laurel MS 39440-4523
Phone: (601) 649-4105
Fax: (601) 649-4045
Website:
Map and Directions
Authorized official contact:
Name: Pugh, Donald
Phone: (601) 517-0025

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 127 Mississippi

Profile Details

NPI number 1124065156
LBN Legal business name Eternity Hospice Inc
DBA Doing business as
Authorized official Pugh, Donald
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Nov 13th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124065156 NPPES
Mississippi MEDICAID 00386341

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