Organization Name: | HOSPICE OF CHATTANOOGA |
NPI Number: | 1053313874 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID RAWISZER (CFO) |
Mailing Address: | 4411 Oakwood Drive Chattanooga |
State: | TN US |
Postal Code: | 374162939 |
Phone Number: | 4238924289 |
Fax Number: | 4238928301 |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 05/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0000000393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |