NPI | 1205877073 |
---|---|
Doing Business As | SOUTHERNCARE EXCELSIOR SPRINGS |
Entity Type | Organization |
Authorized Contact | JESSICA KLEBERG VP Of Legal Affairs 704-664-2876 |
Organization Subpart ? | No |
Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MO 121-11HO) |
Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: MO 1211H0) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2016-05-16 |