Organization Name: | PHHC HOSPICE, LLC |
NPI Number: | 1730561622 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE S REPCHICK (PRESIDENT) |
Mailing Address: | 6133 Rockside Rd Independence |
State: | OH US |
Postal Code: | 441312223 |
Phone Number: | 2164550635 |
Fax Number: | 2164550538 |
NPI Enumeration Date: | 06/26/2015 |
NPI Last Update Date: | 06/26/2015 |
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: |