Organization Name: | VITAS HEALTHCARE CORPORATION ATLANTIC |
NPI Number: | 1063523132 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JORGE MELERO (SR. DIRECTOR) |
Mailing Address: | 1604 Spring Hill Rd Suite 450, Tyson's Pond Ii Vienna |
State: | VA US |
Postal Code: | 221827510 |
Phone Number: | 7032704300 |
Fax Number: | 7032704350 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 09/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HSP12125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |