Organization Name: | INTERIM HEALTHCARE HOSPICE |
NPI Number: | 1942250642 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONNIE V DEAN (CFO) |
Mailing Address: | 16 Hyland Rd Greenville |
State: | SC US |
Postal Code: | 296155756 |
Phone Number: | 8646271200 |
Fax Number: | 8646277102 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HPC-045 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |