Organization Name: | ERIE WEST HOSPICE AND PALLIATIVE CARE, LTD. |
NPI Number: | 1023136405 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WANDA JEAN PORE (EXECUTIVE DIRECTOR) |
Mailing Address: | 3333 Sterns Rd Lambertville |
State: | MI US |
Postal Code: | 481449738 |
Phone Number: | 7345686917 |
Fax Number: | 7345686921 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 10/19/2009 |
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: |