| Organization Name: | DIGNITY HOSPICE O SOUTHERN WV |
| NPI Number: | 1093934242 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENNIS LEWIS (PRESIDENT) |
| Mailing Address: | 3316 South Main Street Chapmanville |
| State: | WV US |
| Postal Code: | 25508 |
| Phone Number: | 3048554764 |
| Fax Number: | 3048316001 |
| NPI Enumeration Date: | 04/25/2007 |
| NPI Last Update Date: | 07/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 02940195 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |