| NPI | 1043607039 |
|---|---|
| Doing Business As | PROVISTA HOSPICE |
| Entity Type | Organization |
| Authorized Contact | MELISSA RODRIGUEZ Administrator 888-965-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2024-04-02 |