| Organization Name: | HEART OF HOSPICE OF HOUMA-THIBODEAUX LLC |
| NPI Number: | 1356555676 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN MENDELL (MEMBER) |
| Mailing Address: | 102 Windham Cir Lafayette |
| State: | LA US |
| Postal Code: | 705035482 |
| Phone Number: | 3372519781 |
| Fax Number: | 8662357765 |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | APPLYING FOR |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |