Organization Name: | SUNCREST HOSPICE LLC |
NPI Number: | 1669767968 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT PERUCCA (ADMINISTRATOR) |
Mailing Address: | 311 Steele St Suite 225 Denver |
State: | CO US |
Postal Code: | 802064479 |
Phone Number: | 7209415580 |
Fax Number: | 7209410659 |
NPI Enumeration Date: | 06/14/2011 |
NPI Last Update Date: | 03/17/2015 |
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: |