Organization Name: | HOMESTEAD HOSPICE OF AUGUSTA, LLC |
NPI Number: | 1285976712 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNE M PETE (VP PROGRAM DEVELOPMENT) |
Mailing Address: | 505 W Martintown Rd North Augusta |
State: | SC US |
Postal Code: | 298413108 |
Phone Number: | 8034262500 |
Fax Number: | 8034262505 |
NPI Enumeration Date: | 03/22/2013 |
NPI Last Update Date: | 03/22/2013 |
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: |