Organization Name: | VITACARE HOSPICE INC |
NPI Number: | 1750529145 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARINA POLTAVSKIY (ADMINISTRATOR) |
Mailing Address: | 255 E Street Rd Feasterville Trevose |
State: | PA US |
Postal Code: | 190536157 |
Phone Number: | 2159539225 |
Fax Number: | 2159539301 |
NPI Enumeration Date: | 01/23/2009 |
NPI Last Update Date: | 01/23/2009 |
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: |