NPI | 1427548676 |
---|---|
Former Legal Business Name | SACRED JOURNEY HOSPICE, INC. |
Entity Type | Organization |
Authorized Contact | TIMOTHY TYLER WHOBREY Provider Enrollment 502-630-7249 |
Organization Subpart ? | No |
Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: GA 038-0446-H) |
Additional Taxonomies | 315D00000X Hospice, Inpatient (Licence: GA 038-0446-H) |
Enumeration Date | 2018-05-14 |
Last Update Date | 2022-08-10 |