| Organization Name: | KANAWHA HOSPICE CARE, INC |
| NPI Number: | 1174556641 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY ROBERTSON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1143 Dunbar Ave Dunbar |
| State: | WV US |
| Postal Code: | 250643121 |
| Phone Number: | 3047688523 |
| Fax Number: | 3047686840 |
| NPI Enumeration Date: | 07/08/2006 |
| NPI Last Update Date: | 12/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 0186990 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |