Organization Name: | BRIDGE OF FAITH HOSPICE & PALLIATIVE CARE, LLC |
NPI Number: | 1497071849 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDELL S. BRANDON (OWNER) |
Mailing Address: | 657 Oakland Ave Helena |
State: | AR US |
Postal Code: | 723421503 |
Phone Number: | 8705724333 |
Fax Number: | 8705724433 |
NPI Enumeration Date: | 04/09/2010 |
NPI Last Update Date: | 04/09/2010 |
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: |