Organization Name: | SOUTHEAST HOSPICE NETWORK, LLC |
NPI Number: | 1346307154 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORA WILSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 2050 Oak Mountain Dr Ste 1 Pelham |
State: | AL US |
Postal Code: | 351241300 |
Phone Number: | 2056219970 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 01/03/2011 |
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: |