Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1700094331 |
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| LBN Legal business name | AMAZING GRACE ALH | ||||
| Authorized official | NOVENA JEAN-MARIE - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/18/2007 | ||||
| Last updated | 06/13/2008 - About 18 years ago | ||||
| Identifiers |
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