Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1114948833 |
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| LBN Legal business name | HEALTHEAST ST. JOSEPH'S HOSPITAL | ||||||||
| Authorized official | DOUG DAVENPORT - (CFO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 07/21/2006 | ||||||||
| Last updated | 05/21/2015 - About 11 years ago | ||||||||
| Identifiers |
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