| Organization Name: | VITAL HOSPICE, INC. |
| NPI Number: | 1043310444 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEITH G. MYERS (PRESIDENT) |
| Mailing Address: | 1200 Derek Dr Suite 202 Hammond |
| State: | LA US |
| Postal Code: | 704035763 |
| Phone Number: | 9853403184 |
| Fax Number: | 9853403966 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 12/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |