Provider Demographics
NPI:1003036294
Name:TRINITY HOSPICE AND PALLIATIVE CARE SERVICES INC.
Entity Type:Organization
Organization Name:TRINITY HOSPICE AND PALLIATIVE CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:WATSON
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:662-345-1884
Mailing Address - Street 1:100 SECOND ST,
Mailing Address - Street 2:
Mailing Address - City:TUTWILER
Mailing Address - State:MS
Mailing Address - Zip Code:38963
Mailing Address - Country:US
Mailing Address - Phone:662-345-1884
Mailing Address - Fax:662-345-8986
Practice Address - Street 1:100 2ND ST
Practice Address - Street 2:
Practice Address - City:TUTWILER
Practice Address - State:MS
Practice Address - Zip Code:38963
Practice Address - Country:US
Practice Address - Phone:662-345-1884
Practice Address - Fax:662-345-8986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS153251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based