Organization Name: | PREFERRED HOSPICE OF MISSOURI SOUTHWEST LLC |
NPI Number: | 1306038948 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES C LINCOLN (PRESIDENT CEO) |
Mailing Address: | 1567 West Diane Suite B Ozark |
State: | MO US |
Postal Code: | 65721 |
Phone Number: | 4175814968 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2007 |
NPI Last Update Date: | 08/17/2007 |
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: |