Organization Name: | HOSPICE OF JACKSON COUNTY,INC |
NPI Number: | 1609873769 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH ANN MELLOY (DIRECTOR) |
Mailing Address: | 611 W Quarry St Maquoketa |
State: | IA US |
Postal Code: | 520602125 |
Phone Number: | 5636520123 |
Fax Number: | 5636522181 |
NPI Enumeration Date: | 07/05/2005 |
NPI Last Update Date: | 10/08/2013 |
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: |