Organization Name: | DIAMOND HOSPICE, LLC |
NPI Number: | 1164817409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA DELL (ADMINISTRATOR) |
Mailing Address: | 1638 B Business Hwy 60 West Dexter |
State: | MO US |
Postal Code: | 638412837 |
Phone Number: | 5736144995 |
Fax Number: | 5736144057 |
NPI Enumeration Date: | 04/03/2015 |
NPI Last Update Date: | 04/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |