Organization Name: | HOSPICE OF THE OZARKS |
NPI Number: | 1033115613 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHIL THOMPSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 701 Burnett Dr Mountain Home |
State: | AR US |
Postal Code: | 726532944 |
Phone Number: | 8705081771 |
Fax Number: | 8705081777 |
NPI Enumeration Date: | 06/28/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0168 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |