| NPI | 1831602119 |
|---|---|
| Doing Business As | PUTNAM COUNTY PALLIATIVE CARE |
| Entity Type | Organization |
| Authorized Contact | JACINTA EICKHOLT Medical Director 419-523-4449 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2020-12-09 |