| Organization Name: | CRATER COMMUNITY HOSPICE INC |
| NPI Number: | 1962407700 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA D. MITCHELL (CEO) |
| Mailing Address: | 3916 S Crater Rd Petersburg |
| State: | VA US |
| Postal Code: | 238059202 |
| Phone Number: | 8045264300 |
| Fax Number: | 8045264924 |
| NPI Enumeration Date: | 06/17/2005 |
| NPI Last Update Date: | 06/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 0515-15 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |