Organization Name: | PROMISE HOSPICE LLC |
NPI Number: | 1467763011 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH A MCGOUGH (CEO/EXECUTIVE DIRECTOR) |
Mailing Address: | 13480 Route 30 Suite B North Huntingdon |
State: | PA US |
Postal Code: | 156421134 |
Phone Number: | 7245155251 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2010 |
NPI Last Update Date: | 08/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |