Provider Demographics
NPI:1669792305
Name:MERCY HOSPICE AND PALLIATIVE CARE, INCORPORATED
Entity type:Organization
Organization Name:MERCY HOSPICE AND PALLIATIVE CARE, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MINNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-645-4549
Mailing Address - Street 1:901 FOREST STREET
Mailing Address - Street 2:POST OFFICE BOX
Mailing Address - City:SHELBY
Mailing Address - State:MS
Mailing Address - Zip Code:38774-0282
Mailing Address - Country:US
Mailing Address - Phone:662-645-4549
Mailing Address - Fax:
Practice Address - Street 1:901 FOREST STREET
Practice Address - Street 2:POST OFFICE BOX
Practice Address - City:SHELBY
Practice Address - State:MS
Practice Address - Zip Code:38774-0282
Practice Address - Country:US
Practice Address - Phone:662-645-4549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient