Organization Name: | PALLIATIVE CARE DEVELOPMENT ASSOCIATES LLC |
NPI Number: | 1902264567 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY ALISON ROBERTSON (OWNER) |
Mailing Address: | 5981 Bluebell Ln Evergreen |
State: | CO US |
Postal Code: | 804397641 |
Phone Number: | 7203121256 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2016 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 20131588769 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |