| NPI | 1801990122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENA LOUISE Administrator/Executive Director 247-250-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315D00000X Hospice, Inpatient (Licence: PA 151999) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2021-04-29 |