Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1679168355 |
| LBN Legal business name | MASONICARE HOME HEALTH AND HOSPICE, INC. |
| Authorized official | JON-PAUL VENOIT - (PRESIDENT CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 03/04/2021 |
| Last updated | 03/04/2021 - About 5 years ago |
| Identifiers | n/a |
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