| NPI | 1134239122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE R MOORE Chief Administrative Officer 857-331-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: NM 3165) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-01-31 |