| Organization Name: | THREE RIVERS HOSPICE INC |
| NPI Number: | 1033236195 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLIFF SHIRRELL (VICE PRESIDENT) |
| Mailing Address: | 301 E 17th St Mountain Grove |
| State: | MO US |
| Postal Code: | 657111161 |
| Phone Number: | 4179263373 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 02/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 172-8HO |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |