| Organization Name: | TRI-COUNTY HOSPICE SERVICES, INC |
| NPI Number: | 1104001163 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD LEWIS (CFO) |
| Mailing Address: | 1523 W Bus Highway 60 Dexter |
| State: | MO US |
| Postal Code: | 638412836 |
| Phone Number: | 5736144000 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2008 |
| NPI Last Update Date: | 03/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | PENDING |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |