| Organization Name: | ERICKSON LIVING HEALTH SERVICES, LLC |
| NPI Number: | 1013134055 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JONATHAN A GARBER (VICE PRESIDENT) |
| Mailing Address: | 203 Linden Ponds Way Attn: Hospice Administrator Hingham |
| State: | MA US |
| Postal Code: | 020438700 |
| Phone Number: | 7815347140 |
| Fax Number: | 4102047237 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |