Organization Name: | HARNEY CO HOME HEALTH HOSPICE |
NPI Number: | 1770562670 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERYL KENISTON (ADMINISTRATOR OF HOME HEALTH) |
Mailing Address: | 415 N Fairview Ave Burns |
State: | OR US |
Postal Code: | 977201417 |
Phone Number: | 5415738360 |
Fax Number: | 5415738389 |
NPI Enumeration Date: | 01/10/2006 |
NPI Last Update Date: | 06/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 16-1023 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |