Organization Name: | LOVING PEACE HOSPICE INC |
NPI Number: | 1811393564 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACOB MATICH (OWNER) |
Mailing Address: | 1 W Old State Capitol Plz #600 Springfield |
State: | IL US |
Postal Code: | 627011200 |
Phone Number: | 2176918322 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2014 |
NPI Last Update Date: | 11/07/2014 |
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: |