Organization Name: | NORTHWEST HOSPICE, LLC |
NPI Number: | 1548503477 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT THOMAS (PRESIDENT) |
Mailing Address: | 834 S Front St Central Point |
State: | OR US |
Postal Code: | 975022726 |
Phone Number: | 5416647400 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2013 |
NPI Last Update Date: | 05/16/2016 |
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: |