| NPI | 1407855562 |
|---|---|
| Doing Business As | PROVIDENCE HOSPICE |
| Entity Type | Organization |
| Authorized Contact | BARRY VANDERGENUGTEN Vice President Of Finance 708-342-8141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: IL 2002251) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2019-04-02 |