| NPI | 1548614910 |
|---|---|
| Doing Business As | PROVIDENCE HOSPICE |
| Doing Business As | PROVIDENCE LIFE SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOHANNA ZANDSTRA Vice President Of Operations 708-342-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2024-01-23 |