Organization
PREMIER HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA HUDDLESTON (VICE PRESIDENT)
(219) 756-7640
Entity
Organization
Contact information
Practice address
1600 167TH ST, SUITE 33, CALUMET CITY, IL 60409-5457
(219) 756-7640
(219) 756-3876
Mailing address
PO BOX 610, DEMOTTE, IN 46310-0610
(219) 756-7640
(219) 756-3876
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2001865
IL
Other
Enumeration date
01/27/2006
Last updated
08/22/2020
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