Organization Name: | UNITY HOSPICE OF GREATER ST LOUIS LLC |
NPI Number: | 1245319367 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL KLEIN (PRESIDENT) |
Mailing Address: | 1604 Eastport Plaza Dr Suite 102 Collinsville |
State: | IL US |
Postal Code: | 622346133 |
Phone Number: | 6183461111 |
Fax Number: | 6183467777 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2002533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |