Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1952727463 |
| LBN Legal business name | AVERA MARSHALL |
| Authorized official | SHARON WILLIAMS - (V.P. OF FINANCE/IS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/07/2014 |
| Last updated | 09/13/2023 - About 3 years ago |
| Identifiers | n/a |
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