| NPI | 1790420503 | 
|---|---|
| Doing Business As | PROMEDICA HOSPICE (MADISON) | 
| 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 |