Organization Name: | REGENCY HOSPICE OF NORTHWEST FLORIDA, INC. |
NPI Number: | 1730326828 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA KLEBERG (VP OF LEGAL AFFAIRS) |
Mailing Address: | 50 Beverly Pkwy Suite 200 Pensacola |
State: | FL US |
Postal Code: | 325052814 |
Phone Number: | 8504782695 |
Fax Number: | 8504789481 |
NPI Enumeration Date: | 01/12/2009 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 50370972 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |