Organization Name: | VITAS HEALTHCARE CORPORATION ATLANTIC |
NPI Number: | 1992848543 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JORGE MELERO (SR. DIRECTOR) |
Mailing Address: | 1787 Sentry Pkwy W Bldg16, Suite 400 Blue Bell |
State: | PA US |
Postal Code: | 194222239 |
Phone Number: | 6102606020 |
Fax Number: | 6102384980 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 09/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 157199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |