Organization Name: | HOSPICE CARE OF SUMTER, LLC |
NPI Number: | 1245552603 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHIRON JOHNSON (OWNER) |
Mailing Address: | 112 Broad St Sumter |
State: | SC US |
Postal Code: | 291504207 |
Phone Number: | 8038835606 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2010 |
NPI Last Update Date: | 10/22/2015 |
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: |