Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1558552836 |
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| LBN Legal business name | SHORE HOME CARE PHYSICIAN SERVICES | ||||
| Authorized official | GERALD WALSH - (INTERIM PRESIDENT/CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/05/2007 | ||||
| Last updated | 04/01/2011 - About 15 years ago | ||||
| Identifiers |
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