Organization Name: | LEGACY HOSPICE, INC. |
NPI Number: | 1033238241 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BOBBY T WILLIAMS (CEO) |
Mailing Address: | 925 W Keiser Ave Osceola |
State: | AR US |
Postal Code: | 723702911 |
Phone Number: | 8705639995 |
Fax Number: | 8705638455 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | AR4223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |