| Organization Name: | WIREGRASS HOSPICE, LLC |
| NPI Number: | 1720081409 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUTH C SCHWARTZ (ASSISTANT SECRETARY) |
| Mailing Address: | 750 E Spring St Suite B Cookeville |
| State: | TN US |
| Postal Code: | 385014527 |
| Phone Number: | 9315285133 |
| Fax Number: | 9313720249 |
| NPI Enumeration Date: | 05/24/2005 |
| NPI Last Update Date: | 03/31/2016 |
| 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: | |