Organization Name: | HOSPICE OF TENNESSEE VALLEY, INC. |
NPI Number: | 1619083391 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN BLAKE EDWARDS (ADMINISTRATOR) |
Mailing Address: | 200 West Tennessee Street Florence |
State: | AL US |
Postal Code: | 35630 |
Phone Number: | 2567671322 |
Fax Number: | 2567180077 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 11/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 12844 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |