Organization Name: | HEART TO HEART HOSPICE OF SOUTHWEST INDIANA LLC |
NPI Number: | 1962585430 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY O MITCHELL (MANAGER) |
Mailing Address: | 3555 Newton St Jasper |
State: | IN US |
Postal Code: | 475461051 |
Phone Number: | 8126834216 |
Fax Number: | 8126834217 |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 10/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 06-005816-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |