Organization Name: | AFFECTIONATE HOSPICE CARE, LLC |
NPI Number: | 1902286354 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORILYN FARAON (PRESIDENT) |
Mailing Address: | 1641 E Flamingo Rd Suite 8 Las Vegas |
State: | NV US |
Postal Code: | 891195257 |
Phone Number: | 7026297308 |
Fax Number: | 7028343797 |
NPI Enumeration Date: | 06/01/2015 |
NPI Last Update Date: | 06/01/2015 |
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: |