Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1649007543 |
| LBN Legal business name | CHARLES FORD MEMORIAL HOME INC |
| Authorized official | AMY KOCH - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 09/16/2024 |
| Last updated | 09/16/2024 - More than a year ago |
| Identifiers | n/a |
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