Organization Name: | ACE HOME HEALTH & HOSPICE CARE LLC |
NPI Number: | 1518236041 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL A CLENNON (PRESIDENT) |
Mailing Address: | 110 Arrow Path Huntsville |
State: | AL US |
Postal Code: | 358064715 |
Phone Number: | 5868238488 |
Fax Number: | 2564898454 |
NPI Enumeration Date: | 12/29/2011 |
NPI Last Update Date: | 12/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 123456 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |