| Organization Name: | HOSPICE 2012, LLC |
| NPI Number: | 1134490238 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANA SMITH MCBRIDE (CEO) |
| Mailing Address: | 13702 Coursey Blvd Building 5, Suite B Baton Rouge |
| State: | LA US |
| Postal Code: | 708171370 |
| Phone Number: | 2257531495 |
| Fax Number: | 2257531301 |
| NPI Enumeration Date: | 01/20/2012 |
| NPI Last Update Date: | 01/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |