NPI | 1912489741 |
---|---|
Doing Business As | SACRED JOURNEY HOSPICE |
Entity Type | Organization |
Authorized Contact | TIMOTHY WHOBREY Provider Enrollment 502-630-7249 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: GA 060-0459-H) |
Additional Taxonomies | 315D00000X Hospice, Inpatient (Licence: GA 060-0459-H) |
Enumeration Date | 2018-08-29 |
Last Update Date | 2021-11-04 |