Organization Name: | HOSPICE ADVANTAGE, LLC |
NPI Number: | 1952746844 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAYANNE MYNSBERGE (COO) |
Mailing Address: | 545 Mainstream Dr Suite 412 Nashville |
State: | TN US |
Postal Code: | 372281201 |
Phone Number: | 6157333600 |
Fax Number: | 6157339988 |
NPI Enumeration Date: | 05/06/2013 |
NPI Last Update Date: | 05/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0000000616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |