| NPI | 1801462361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WHOBREY Provider Enrollment 502-630-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 315D00000X Hospice, Inpatient |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |