Organization Name: | COMMUNITYHOSPICE |
NPI Number: | 1689658023 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL B KAVANAUGH (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 3600 Chestnut St New Orleans |
State: | LA US |
Postal Code: | 701153615 |
Phone Number: | 5048992011 |
Fax Number: | 5048919050 |
NPI Enumeration Date: | 11/30/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |