Organization Name: | GALAXY HOSPICE, INC |
NPI Number: | 1073925533 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALPHIE DE GUZMAN (PRESIDENT) |
Mailing Address: | 4055 Spencer St Ste 217 Las Vegas |
State: | NV US |
Postal Code: | 891199303 |
Phone Number: | 7029886789 |
Fax Number: | 7029888813 |
NPI Enumeration Date: | 06/02/2014 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 7765HPC-0 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |