Organization Name: | AMEDISYS HOSPICE, L.L.C. |
NPI Number: | 1104016658 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL KISSEROW (PRESIDENT) |
Mailing Address: | 412 S Court St Suite 302 Florence |
State: | AL US |
Postal Code: | 356305645 |
Phone Number: | 2567607877 |
Fax Number: | 2567607886 |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 01/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | E3911 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |