Organization Name: | HOSPICE OF AMERICAN HEALTH CARE PROFESSIONALS |
NPI Number: | 1962635821 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLISHIA TAYLOR (ADMINISTRATOR) |
Mailing Address: | 120 Beulah Rd Ne #201 Vienna |
State: | VA US |
Postal Code: | 221804745 |
Phone Number: | 7033193804 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2009 |
NPI Last Update Date: | 09/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 491561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |