Organization Name: | HOSPICE CARE SERVICES,LLC |
NPI Number: | 1407800907 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD DARRELL MAHONEY (OWNER) |
Mailing Address: | 303 Prairie St 303 Prairie St Winnsboro |
State: | LA US |
Postal Code: | 712952732 |
Phone Number: | 3184358502 |
Fax Number: | 3184358504 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 85 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |