Organization Name: | SANTEE HOSPICE LLC |
NPI Number: | 1710994397 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT TUCKER REED (CHIEF OPERATING OFFICER) |
Mailing Address: | 259 Broad St Suite A Sumter |
State: | SC US |
Postal Code: | 291504146 |
Phone Number: | 8037748400 |
Fax Number: | 8037748401 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 09/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HPC160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |