Organization Name: | WISSAHICKON HOSPICE OF UPHS |
NPI Number: | 1952707358 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICK BROWN (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 1006 Mantua Pike Woodbury Heights |
State: | NJ US |
Postal Code: | 080971221 |
Phone Number: | 8568458600 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2014 |
NPI Last Update Date: | 11/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 720305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |