Provider Demographics
NPI:1164728689
Name:SAINT ANTHONYS HOSPICE & PALLIATIVE CARE
Entity Type:Organization
Organization Name:SAINT ANTHONYS HOSPICE & PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-466-0330
Mailing Address - Street 1:1027 FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:MS
Mailing Address - Zip Code:38751-9605
Mailing Address - Country:US
Mailing Address - Phone:662-466-0330
Mailing Address - Fax:662-756-0931
Practice Address - Street 1:108 N RUBY AVE
Practice Address - Street 2:
Practice Address - City:RULEVILLE
Practice Address - State:MS
Practice Address - Zip Code:38771-3940
Practice Address - Country:US
Practice Address - Phone:662-756-2072
Practice Address - Fax:662-756-2074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-31
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based