Organization Name: | ST. JOSEPH HOSPICE AND PALLIATIVE CARE NORTHSHORE LLC |
NPI Number: | 1710051669 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICK MITCHELL (MANAGING MEMBER) |
Mailing Address: | 1400 Gause Blvd Slidell |
State: | LA US |
Postal Code: | 704582252 |
Phone Number: | 9856493188 |
Fax Number: | 9856493183 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 02/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |