NPI | 1306919683 |
---|---|
Former Legal Business Name | SACRED JOURNEY HOSPICE, INC. |
Entity Type | Organization |
Authorized Contact | TIMOTHY WHOBREY Provider Enrollment 502-630-7249 |
Organization Subpart ? | No |
Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: GA 075176H) |
Additional Taxonomies | 315D00000X Hospice, Inpatient (Licence: GA 075176H) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2022-08-10 |