Organization Name: | SAFE HARBOR HOSPICE INC |
NPI Number: | 1215084876 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILLIP M BEYER (EXEC DIRECTOR PRESIDENT) |
Mailing Address: | 101 Kingsbury Street Fredericktown |
State: | MO US |
Postal Code: | 63645 |
Phone Number: | 5737837625 |
Fax Number: | 5737832126 |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 10/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 1076HO |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |