| Organization Name: | LESTER DIERKSEN MEMORIAL HOSPICE LLC |
| NPI Number: | 1730216359 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAMILLE GAMBLE (OWNER) |
| Mailing Address: | 3648 North Hwy 7 Suite E Hot Springs |
| State: | AR US |
| Postal Code: | 719099311 |
| Phone Number: | 5013181500 |
| Fax Number: | 5013181507 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 11/11/2009 |
| 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: | |