Organization Name: | HOSPICE OF FAYETTE COUNTY INC. |
NPI Number: | 1386628931 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MILISSA JANE KNISLEY (EXECUTIVE DIRECTOR) |
Mailing Address: | 222 N Oakland Ave Washington Court House |
State: | OH US |
Postal Code: | 431601234 |
Phone Number: | 7403350149 |
Fax Number: | 7403353489 |
NPI Enumeration Date: | 12/06/2005 |
NPI Last Update Date: | 03/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0011-HSP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |