Life Source Services, Llc in Greenwood - Hospice Care, Community Based
Life Source Services, Llc - NPI 1295793982
Life Source Services, Llc is a Hospice Care, Community Based in Greenwood, Mississippi. Life Source Services, Llc practices all healthcare services and medical treatments related to Hospice Care, Community Based. The NPI Number for Life Source Services, Llc is 1295793982. The last update date is 2020-08-22.
Life Source Services, Llc's current location address is 115 Fulton St, Greenwood, Mississippi. You can contact this provider via phone number 6624519912 and fax number 6624519915. The mailing address for Life Source Services, Llc is 115 Fulton St, Greenwood, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life Source Services, Llc |
|---|---|
| Address | 115 Fulton St, Greenwood, Mississippi |
| Phone Number | 6624519912 |
| Fax Number | 6624519915 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Belton Randy |
| Telephone Number | 6017091408 |
NPI Number Detail
| NPI Number | 1295793982 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 115 Fulton St |
|---|---|
| City | Greenwood |
| State | Mississippi (MS) |
| Post Code | 389304361 |
| Phone Number | 6624519912 |
| Fax Number | 6624519915 |
Provider's Primary Taxonomy Detail
| Speciality | Hospice Care, Community Based |
|---|---|
| Taxonomy | 251G00000X |
| Licence No | 126 |
|
Definition: Provides palliative care to terminally ill patients to manage pain and symptoms and support quality of life. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3332314 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Life Source Services, Llc by the Centers for Medicare & Medicaid Services?
The Life Source Services, Llc has been issued the NPI (National Provider Identifier) 1295793982. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Life Source Services, Llc is located?
The Life Source Services, Llc is situated at the following address: 115 Fulton St, Greenwood, MS, 389304361.
What is the Life Source Services, Llc's specialty and taxonomy code?
The Life Source Services, Llc's specialty is Hospice Care, Community Based, and the corresponding taxonomy code is 251G00000X.
On what date did the Life Source Services, Llc receive its 1295793982 assignment from the Centers for Medicare & Medicaid Services?
The Life Source Services, Llc was assigned its 1295793982 by the Centers for Medicare & Medicaid Services on 2006-05-02.
When was the information related to Life Source Services, Llc most recently updated or refreshed?
The details pertaining to the Life Source Services, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.