Organization Name: | HEARTLITE HOSPICE, INC. |
NPI Number: | 1003872649 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CURTIS A DANEKAS (CHIEF FINANCIAL OFF) |
Mailing Address: | 100 West Charlotte Avenue Scottsboro |
State: | AL US |
Postal Code: | 35768 |
Phone Number: | 2562591754 |
Fax Number: | 2562591790 |
NPI Enumeration Date: | 04/22/2006 |
NPI Last Update Date: | 01/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 11278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |