| NPI | 1295793669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN P GORE Accounting Clerk 304-855-4764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: WV 02940195) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2014-07-14 |