Organization Name: | GENERATIONS HOSPICE SERVICE CORPORATION |
NPI Number: | 1457358236 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA L. KLEBERG (VP OF LEGAL AFFAIRS) |
Mailing Address: | 32948 Hwy 16 Denham Springs |
State: | LA US |
Postal Code: | 707060962 |
Phone Number: | 2257917775 |
Fax Number: | 2257917719 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 1580902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |