LIFE SOURCE SERVICES, LLC
Organization (NPI-2)
Active
Hospice Care, Community Based
Provider Information
- NPI Number
1417915091- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 129 EXECUTIVE DR SUITE C, MADISON, MS, 391108473
- Phone
- (601) 898-1510
- Fax
- (601) 898-1560
Specialties & Taxonomies
Hospice Care, Community Based
Primary License: LA #079