Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice |
163WH1000X | |||
Administrator |
163WA2000X | |||
Hospice and Palliative Medicine |
207PH0002X | 17 | Physician/Hospice and Palliative Care | |
Licensed Vocational Nurse |
164X00000X | |||
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Pastoral |
101YP1600X | |||
Social Worker |
104100000X |
| NPI Number | 1083204903 |
| LBN Legal business name | SOLEMNITY HOSPICE LLC |
| Authorized official | TRACI COOPER - (ADMIN/SUP NURSE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/25/2021 |
| Last updated | 01/31/2021 - About 5 years ago |
| Identifiers | n/a |
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