| Organization Name: | 365 HOSPICE, LLC |
| NPI Number: | 1841459872 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JONATHAN REZK (V.P. OF FINANCE) |
| Mailing Address: | 2549 Mosside Blvd Monroeville |
| State: | PA US |
| Postal Code: | 151463510 |
| Phone Number: | 4123725320 |
| Fax Number: | 4123725926 |
| NPI Enumeration Date: | 06/05/2008 |
| NPI Last Update Date: | 07/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 17061601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |