| Organization Name: | DOVE HOSPICE CORPORATION |
| NPI Number: | 1649653726 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL L HURST (PRESIDENT) |
| Mailing Address: | 108 E 3rd St Suite 2 Roswell |
| State: | NM US |
| Postal Code: | 882016202 |
| Phone Number: | 5754200877 |
| Fax Number: | 5756275934 |
| NPI Enumeration Date: | 07/07/2015 |
| NPI Last Update Date: | 07/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 5066956 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |