Organization Name: | HOSPICE ADVANTAGE, LLC. |
NPI Number: | 1194121962 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODNEY HILDEBRANT (PRESIDENT) |
Mailing Address: | 700 S. State St Suite A. Clarks Summit |
State: | PA US |
Postal Code: | 184111749 |
Phone Number: | 9898912210 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2014 |
NPI Last Update Date: | 11/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 17401601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |