Organization Name: | BEACON HOSPICE, LLC |
NPI Number: | 1174671606 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON TAYLOR (DIRECTOR) |
Mailing Address: | 501 Wando Park Blvd. Suite 100 Mt. Pleasant |
State: | SC US |
Postal Code: | 29464 |
Phone Number: | 8439720500 |
Fax Number: | 8439720501 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 08/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HPC-113 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |