Organization Name: | AMEDISYS HOSPICE, L.L.C. |
NPI Number: | 1528237997 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL KUSSEROW (PRESIDENT) |
Mailing Address: | 115 W Grand Ave Suite 70 Rainbow City |
State: | AL US |
Postal Code: | 359063275 |
Phone Number: | 2564420771 |
Fax Number: | 2564427254 |
NPI Enumeration Date: | 02/29/2008 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | E2805 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |