| NPI | 1033417001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYNA WHITE Licensing & Legal Projects Manager 857-400-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2022-03-01 |