| NPI | 1538541404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY TYLER WHOBREY Provider Enrollment 502-630-7249 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2019-07-31 |