| NPI | 1639218472 |
|---|---|
| Other Name | PROVIDENCE HOSPICE |
| Entity Type | Organization |
| Authorized Contact | THOMAS J LEE Administrator 402-375-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: NE HOSPICE 29) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-07-26 |