| Organization Name: | HOSPICE OF THE PALM COAST INC |
| NPI Number: | 1730180076 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RODNEY DIRK ALLISON (SR VP & CFO) |
| Mailing Address: | 149 S Ridgewood Ave Suite 600 Daytona Beach |
| State: | FL US |
| Postal Code: | 321144365 |
| Phone Number: | 3862482380 |
| Fax Number: | 3862482388 |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 08/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 50370968 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |