Organization Name: | AMEDISYS HOSPICE, L.L.C. |
NPI Number: | 1437160058 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL B KUSSEROW (PRESIDENT) |
Mailing Address: | 500 Pamplico Hwy Suite D Florence |
State: | SC US |
Postal Code: | 295056051 |
Phone Number: | 8436560820 |
Fax Number: | 8436697957 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HPC 0091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |