Provider Demographics
NPI:1780806497
Name:ZION HOSPICE AND PALLIATIVE SERVICES INC
Entity type:Organization
Organization Name:ZION HOSPICE AND PALLIATIVE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOFTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-624-2234
Mailing Address - Street 1:112 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38614-4206
Mailing Address - Country:US
Mailing Address - Phone:662-624-2234
Mailing Address - Fax:662-624-2814
Practice Address - Street 1:112 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CLARKSDALE
Practice Address - State:MS
Practice Address - Zip Code:38614-4206
Practice Address - Country:US
Practice Address - Phone:662-624-2234
Practice Address - Fax:662-624-2814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based