Organization Name: | SAFE HAVEN HOSPICE LLC |
NPI Number: | 1245516236 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA SIMMONS (RN/PARTNER) |
Mailing Address: | 6007 Financial Plz Suite 114 Shreveport |
State: | LA US |
Postal Code: | 711292655 |
Phone Number: | 3182861852 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2011 |
NPI Last Update Date: | 10/23/2011 |
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: |