Organization Name: | SAFE HARBOR HOSPICE, INC. |
NPI Number: | 1952306714 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SRINIVAS R AYYAGARI (EXECUTIVE DIRECTOR) |
Mailing Address: | 206 Hyler Dr Farmington |
State: | MO US |
Postal Code: | 636402985 |
Phone Number: | 5737608899 |
Fax Number: | 5737601412 |
NPI Enumeration Date: | 06/17/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 1074HO |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |