HOSPICE PEACHTREE LLC; NPI #1275513129

Contact Information

HOSPICE PEACHTREE LLC

2910 JENNY LIND RD
#4
FORT SMITH, AR 72901-6735

Phone: 479-494-0100
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for HOSPICE PEACHTREE LLC

NPI Number 1275513129

LBN Legal business name HOSPICE PEACHTREE LLC

Authorized official JIM PETRUS - (CHIEF OPERATING OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/18/2006

Last updated 07/23/2010 - About 16 years ago

Identifiers

Medicaid

141698747

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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