Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1437283389 |
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| LBN Legal business name | E D & J GROUP HOME | ||||||||
| Authorized official | BYKEN JOHNSON - (OFFICE MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 03/15/2007 | ||||||||
| Last updated | 09/23/2008 - About 18 years ago | ||||||||
| Identifiers |
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E D & J GROUP HOME
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