OrganizationActive
Eternity Hospice Inc
NPI 1730125949 · Community Based Hospice Care Agency · Indianola, MS
Provider details
- NPI number
- 1730125949
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Charles Fairley, President(601) 517-0025
- License
- 093 (MS)
Specialties & taxonomies
Agencies
Practice location
417 Highway 82 E Ste 23
Indianola, MS 38751-2315
Phone: (662) 887-3380
Fax: (662) 887-3739
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 686
Indianola, MS 38751-0686
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2007-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.