Organization Name: | EVERLASTING HOSPICE INC. |
NPI Number: | 1902173511 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDNA U AGUILAR (CEO) |
Mailing Address: | 11758 Orchard Rd Willow Springs |
State: | IL US |
Postal Code: | 604801626 |
Phone Number: | 7737693700 |
Fax Number: | 7737693700 |
NPI Enumeration Date: | 11/28/2011 |
NPI Last Update Date: | 11/28/2011 |
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: |