CCN: 251669 NPI: 1609183292 Organization

SPECIALTY HOSPICE, LLC

5600 GOODMAN RD , SUITE D
OLIVE BRANCH, MS 386547002

Contact Information

Phone 6624207157
Fax 6624207147
Enumeration Date 2010-09-03
Last Updated 2010-09-03

Taxonomies

Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 32820

providerType 35

censusDivision 5

cbsaActualGeographicLocation 32820

providerType 35

censusDivision 5

cbsaActualGeographicLocation 32820

providerType 35

censusDivision 5

cbsaActualGeographicLocation 32820

providerType 35

censusDivision 5

cbsaActualGeographicLocation 32820

providerType 35

censusDivision 5

cbsaActualGeographicLocation 32820

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 32820

providerType 35

specialPaymentIndicator

carrierCode 07302

localityCode 00