Organization Name: | CHATEAU DE NOTRE DAME |
NPI Number: | 1609215391 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAYNE R. PLAISANCE (CEO) |
Mailing Address: | 5407 Indian Hill Blvd Diamondhead |
State: | MS US |
Postal Code: | 395253324 |
Phone Number: | 2286871385 |
Fax Number: | 5042273511 |
NPI Enumeration Date: | 06/17/2013 |
NPI Last Update Date: | 09/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |