Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Nursing Care |
251J00000X | |||
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI Number | 1457658833 |
| LBN Legal business name | FUNCTIONALMED.ORG |
| Authorized official | DIANA WOOLVERTON - (CHIEF EXECUTIVE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/19/2011 |
| Last updated | 02/19/2011 - About 15 years ago |
| Identifiers | n/a |
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