Organization Name: | AMBERCARE HOSPICE INC. |
NPI Number: | 1447228598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHERINE R. ROSACKER-SHARP (EXECUTIVE DIRECTOR) |
Mailing Address: | 420 N Main St Belen |
State: | NM US |
Postal Code: | 870023718 |
Phone Number: | 5058610060 |
Fax Number: | 5058610045 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 05/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 662A3 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |