Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI # | 1275130098 |
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| LBN Legal business name | EDEN HOSPICE AT WHATCOM COUNTY, LLC | ||||||||||||||||||||
| Authorized official | BRENT WEIL - (CEO AND MANAGER) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||||||
| Enumeration date | 10/05/2020 | ||||||||||||||||||||
| Last updated | 06/28/2023 - About 3 years ago | ||||||||||||||||||||
| Identifiers |
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