| Organization Name: | ATLANTIC HOSPICE, INC. |
| NPI Number: | 1194169995 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEONARD KOLTMAN (PRESIDENT) |
| Mailing Address: | 101 S Cambridge Ave Unit B Ventnor City |
| State: | NJ US |
| Postal Code: | 084062743 |
| Phone Number: | 6098227979 |
| Fax Number: | 6098227980 |
| NPI Enumeration Date: | 04/23/2013 |
| NPI Last Update Date: | 04/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |