Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1366216624 |
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| LBN Legal business name | LUMINIS HEALTH GILCHRIST LIFECARE INSTITUTE, LLC | ||||
| Authorized official | JENNIFER MODDERMAN - (REVENUE CYCLE MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/08/2023 | ||||
| Last updated | 11/08/2023 - About 3 years ago | ||||
| Identifiers |
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