Organization Name: | COMPASSIONATE CARE HOSPICE OF MISSOURI LLC |
NPI Number: | 1811154107 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDITH GREY (CHIEF OPERATING OFFICER) |
Mailing Address: | 1322 Baur Boulevard Saint Louis |
State: | MO US |
Postal Code: | 63132 |
Phone Number: | 2019194905 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2008 |
NPI Last Update Date: | 05/22/2008 |
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: |