| Organization Name: | HIGH DESERT HOSPICE LLC |
| NPI Number: | 1033191440 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA L BRYSON (PRESIDENT) |
| Mailing Address: | 2210 Shallock Avenue Klamath Falls |
| State: | OR US |
| Postal Code: | 976014290 |
| Phone Number: | 5418821636 |
| Fax Number: | 5418821799 |
| NPI Enumeration Date: | 11/19/2005 |
| NPI Last Update Date: | 05/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |