| NPI | 1659300564 |
|---|---|
| Doing Business As | PROMEDICA HOSPICE (FAIRFAX) |
| Doing Business As | PROMEDICA HOSPICE (WARRENTON) |
| Entity Type | Organization |
| Authorized Contact | MARTIN D ALLEN Director 419-252-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: VA HSP-0768) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-10-19 |