| Organization Name: | FREMONT REGIONAL HOSPICE |
| NPI Number: | 1124234844 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLENE SEANEY (ADMINISTRATOR) |
| Mailing Address: | 107 N 7th St Canon City |
| State: | CO US |
| Postal Code: | 812123305 |
| Phone Number: | 7192754315 |
| Fax Number: | 7192758315 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 1253 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |