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GENTIVA — Medicare Hospice Provider (VICKSBURG, MS)

GENTIVA — Medicare Hospice Provider (VICKSBURG, MS) is one of 6,066 hospice providers in the HospiceLens dataset. Key details — Hospice name: GENTIVA; Legal name: SOUTHERNCARE, INC.; NPI: 1861430837.

Hospice nameGENTIVA
Legal nameSOUTHERNCARE, INC.
NPI1861430837
CCN251559
CityVICKSBURG
StateMS
ZIP391805232
Address1990 S FRONTAGE RD
OwnershipP
Org structureCORPORATION
Incorporation date2002-12-30
SourceCMS Hospice Enrollments

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