Organization
HEARTLAND HOSPICE SERVICES, LLC
Active
Other names
ProMedica Hospice (Charleston)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
7410 NORTHSIDE DR STE 250, CHARLESTON, SC 29420-4292
(843) 766-7646
(843) 766-9766
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 254-7841
(419) 252-6648
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
HPC-075
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP052
—
SC
Enumeration date
07/01/2006
Last updated
04/14/2022
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