Organization · Type 2 NPI
Premier Hospice of Mangham, LLC
Community Based Hospice Care Agency · Farmerville, LA
NPI number
1093905762
Active
Practice location
104-2 West Bayou
Farmerville, LA 71241
Fax (318) 281-2753
Mailing address
1523 Texas Ave
Bastrop, LA 71220-4043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency Primary | 251G00000X | TBD (LA) |
Community Based Hospice Care Agency: Definition to come...
About NPI 1093905762
Premier Hospice of Mangham, LLC's National Provider Identifier is 1093905762, issued on Jul 30, 2007. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Farmerville, LA. The record was last updated on Jul 30, 2007.