| NPI | 1841280104 |
|---|---|
| Former Legal Business Name | HOSPICE |
| Entity Type | Organization |
| Authorized Contact | EDIWNA HARMON BUSHNELL CEO 337-990-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2022-07-21 |