Organization Name: | LIVING CARE HOSPICE, LLC |
NPI Number: | 1427114768 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KERRIN CONKLIN (OWNER /CEO) |
Mailing Address: | 215 S Duval St Claxton |
State: | GA US |
Postal Code: | 304172031 |
Phone Number: | 9127394990 |
Fax Number: | 9127394933 |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 12/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 132-168-H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |