Organization Name: | HARBORS HOME HEALTH & HOSPICE |
NPI Number: | 1699777276 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOEL D STEPHENS (ADMINISTRATOR) |
Mailing Address: | 207 7th St Hoquiam |
State: | WA US |
Postal Code: | 98550 |
Phone Number: | 3605325454 |
Fax Number: | 3605330999 |
NPI Enumeration Date: | 08/12/2005 |
NPI Last Update Date: | 04/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | IS-306 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |