Provider Demographics
NPI:1427380286
Name:SEYAH HOSPICE CARE INC.
Entity Type:Organization
Organization Name:SEYAH HOSPICE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:FLEMMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-265-5333
Mailing Address - Street 1:PO BOX 231
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:MS
Mailing Address - Zip Code:38753-0231
Mailing Address - Country:US
Mailing Address - Phone:662-265-5333
Mailing Address - Fax:662-265-5005
Practice Address - Street 1:813 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:MS
Practice Address - Zip Code:38753-9793
Practice Address - Country:US
Practice Address - Phone:662-265-5333
Practice Address - Fax:662-265-5005
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEYAH HOSPICE CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02706875Medicaid