| NPI | 1558007385 |
|---|---|
| Doing Business As | PROMEDICA HOSPICE (FAIRFAX) |
| Entity Type | Organization |
| Authorized Contact | MARTIN DAVID ALLEN Sole Director 419-252-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-05-05 |