| NPI | 1538224076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE L KISH CEO 648-227-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: SC HPC10) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: SC HPF002) |
| 315D00000X Hospice, Inpatient (Licence: SC HPF002) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-04-17 |