Organization Name: | IHC HOSPICE, INC. |
NPI Number: | 1285766485 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLEN B BOLCH (PRESIDENT-CEO) |
Mailing Address: | 1000 Towne Center Blvd Suite 303 Pooler |
State: | GA US |
Postal Code: | 313224052 |
Phone Number: | 9127486106 |
Fax Number: | 9127486266 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0250279H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |