Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
Hospice, Inpatient |
315D00000X |
| NPI # | 1134848625 |
| LBN Legal business name | DAVIS HOSPICE, LLC |
| Authorized official | LACY DAVIS - (RN ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/26/2022 |
| Last updated | 08/26/2022 - About 4 years ago |
| Identifiers | n/a |
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