# MONTICELLO HOSPICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monticello Hospice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497763064
- **Authorized official:** ROBERT TUCKER REED (CHEIF OPERATING OFFICER)
- **Authorized official phone:** (910) 273-5550

## Contact information

- **Practice address:** 4720 HWY 17 BYPASS SOUTH, SUITE F, MYRTLE BEACH, SC 29577
- **Practice address phone:** (843) 293-6132
- **Practice address fax:** (843) 293-6133
- **Mailing address:** 405 N ELM ST, LUMBERTON, NC 28358-5556
- **Mailing address phone:** (910) 345-0030
- **Mailing address fax:** (910) 345-0041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH1000X | Hospice Registered Nurse | HPC105 | SC | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 08/22/2020