| Organization Name: | JOURNEY HOSPICE OF THE SHORES, LLC |
| NPI Number: | 1992876270 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BOBBY ROUSE (CFO) |
| Mailing Address: | 3945 N I 10 Service Rd W Ste 100 Metairie |
| State: | LA US |
| Postal Code: | 700026881 |
| Phone Number: | 5044566011 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |