Provider Demographics
NPI:1588797872
Name:PHYSICIAN HOSPICE CARE 2 LLC
Entity Type:Organization
Organization Name:PHYSICIAN HOSPICE CARE 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:601-366-9551
Mailing Address - Street 1:PO BOX 6000
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38634-6000
Mailing Address - Country:US
Mailing Address - Phone:601-366-9551
Mailing Address - Fax:601-992-8533
Practice Address - Street 1:132 FAIRMONT ST STE F
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-4721
Practice Address - Country:US
Practice Address - Phone:601-366-9551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based