Organization Name: | BETHLEHEM HOSPICE CARE, INC |
NPI Number: | 1255639472 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILIP M MABION (PRESIDENT) |
Mailing Address: | 2726 Forest Ave Kansas City |
State: | MO US |
Postal Code: | 641091224 |
Phone Number: | 8164746371 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2011 |
NPI Last Update Date: | 03/11/2011 |
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: |