Organization Name: | ANGEL CARE HOSPICE, INC. |
NPI Number: | 1073739975 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTAL GLOVER (ADMINISTRATOR) |
Mailing Address: | 403 W Simcoe St Lafayette |
State: | LA US |
Postal Code: | 705015829 |
Phone Number: | 3372568966 |
Fax Number: | 3372568968 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 10/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 75 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |