Organization · Type 2 NPI
Grant Memorial Homecare and Hospice, LLC
Community Based Hospice Care Agency · Petersburg, WV
NPI number
1053579102
Active
Practice location
100 Hospital Drive, Suite 2
Petersburg, WV 26847-9409
Fax (304) 257-2093
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency Primary | 251G00000X | 16 (WV) |
| Inpatient Hospice | 315D00000X | None listed |
Community Based Hospice Care Agency: Definition to come...
Other community based hospice care agency providers in Petersburg
About NPI 1053579102
Grant Memorial Homecare and Hospice, LLC's National Provider Identifier is 1053579102, issued on May 27, 2008. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Petersburg, WV. The record was last updated on Sep 6, 2024.