| NPI | 1568485894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BUCCIARELLI VP, Legal Services 813-871-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: VA HSP-0617) |
| Additional Taxonomies | 315D00000X Hospice, Inpatient (Licence: VA H1857) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-08-01 |