Organization · Type 2 NPI

Crater Community Hospice Inc

Community Based Hospice Care Agency · Petersburg, VA

NPI number 1962407700 Active

Practice location

3916 S Crater Rd
Petersburg, VA 23805-9202

Fax (804) 526-4924

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000X0515-15 (VA)

Community Based Hospice Care Agency: Definition to come...

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About NPI 1962407700

Crater Community Hospice Inc's National Provider Identifier is 1962407700, issued on Jun 17, 2005. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Petersburg, VA. The record was last updated on Jun 9, 2010.