| NPI | 1609911817 |
|---|---|
| Former Legal Business Name | 02212007207806 |
| Entity Type | Organization |
| Authorized Contact | JOHN O. ENDERLE President/CEO 860-221-0793 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: OH 17Y382) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2015-11-04 |