Organization Name: | SACRED HEART HOSPICE, INC |
NPI Number: | 1619294543 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDY D. A. CHARLES (PRESIDENT) |
Mailing Address: | 620 Bayou Tortue Rd Broussard |
State: | LA US |
Postal Code: | 705187506 |
Phone Number: | 3378376420 |
Fax Number: | 3378376665 |
NPI Enumeration Date: | 05/03/2010 |
NPI Last Update Date: | 05/03/2010 |
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: |