Organization Name: | SOUTH COAST HOSPICE & PALLIATIVE CARE SERVICES INC |
NPI Number: | 1417956558 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA JOY FURMAN GRILE (EXECUTIVE DIRECTOR) |
Mailing Address: | 1620 Thompson Rd Coos Bay |
State: | OR US |
Postal Code: | 974202150 |
Phone Number: | 5412692986 |
Fax Number: | 5412690576 |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 11/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 1986-005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |