Organization Name: | MAHOGANY HOSPICE CARE, INC |
NPI Number: | 1033278999 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONY LOUIS SUGGS (OWNER) |
Mailing Address: | 1 Vantage Way Ste B125 Nashville |
State: | TN US |
Postal Code: | 372281530 |
Phone Number: | 6152546345 |
Fax Number: | 6159850013 |
NPI Enumeration Date: | 12/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 441592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |