Organization Name: | MAXIMUM HOSPICE & PALLIATIVE CARE, INC. |
NPI Number: | 1144240987 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MUBARAK ALI MIRJAT (ADMINISTRATOR) |
Mailing Address: | 2959 W 95th St Evergreen Park |
State: | IL US |
Postal Code: | 608052409 |
Phone Number: | 7089521900 |
Fax Number: | 7089529010 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 1715334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |