Provider Demographics
NPI:1770799645
Name:MILESTONE HOSPICE INCORPORATED
Entity type:Organization
Organization Name:MILESTONE HOSPICE INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:O
Authorized Official - Last Name:RESPESS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:662-809-2727
Mailing Address - Street 1:212 COMMERCE AVE BLDG GH
Mailing Address - Street 2:P.O. BOX 506
Mailing Address - City:CLEVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:38732-2721
Mailing Address - Country:US
Mailing Address - Phone:662-846-6833
Mailing Address - Fax:662-846-6833
Practice Address - Street 1:212 COMMERCE AVE BLDG GH
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:MS
Practice Address - Zip Code:38732-2721
Practice Address - Country:US
Practice Address - Phone:662-846-6833
Practice Address - Fax:662-846-6833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based