Provider Demographics
NPI:1477873305
Name:LION HOSPICE & PALLIATIVE CARE, LLC
Entity Type:Organization
Organization Name:LION HOSPICE & PALLIATIVE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WENDELL
Authorized Official - Middle Name:S
Authorized Official - Last Name:BRANDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-822-5844
Mailing Address - Street 1:POB 477
Mailing Address - Street 2:2001 HOSPITAL DRIVE, SUITE 4
Mailing Address - City:CLARKSDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38614-7205
Mailing Address - Country:US
Mailing Address - Phone:662-822-5844
Mailing Address - Fax:662-621-1172
Practice Address - Street 1:2001 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 4
Practice Address - City:CLARKSDALE
Practice Address - State:MS
Practice Address - Zip Code:38614-7205
Practice Address - Country:US
Practice Address - Phone:662-822-5844
Practice Address - Fax:662-621-1172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based