Palliative Care At Heart, LLC
Family Medicine, Hospice and Palliative Medicine in Jackson, MS. Organization (NPI-2).
NPI number1083222004
StatusActive
Last updated in NPPESMay 20, 2022
Details
- NPI
- 1083222004
- Entity type
- Organization (NPI-2)
- Legal business name
- Palliative Care At Heart, LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2020
- Certification date
- May 20, 2022
- Last updated
- May 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QH0002X | Family Medicine, Hospice and Palliative Medicine | – | – | Yes |
Practice location
1675 Lakeland Dr Ste 407Jackson, MS 39216-4845
Phone 662-350-0830 · Fax 769-208-4512
Mailing address
Po Box 51266Lafayette, LA 70505-1266
Phone 337-233-1307 · Fax 337-443-4154
Authorized official
Nicholas Gachassin
Executive Vice President
3372331307
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