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Organization

HOSPICE OF JEFFERSON COUNTY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA PATTERSON (CEO)
(315) 788-7323
Entity
Organization

Contact information

Practice address
1398 GOTHAM STREET, WATERTOWN, NY 13601
(315) 788-7323
(315) 788-9653
Mailing address
1398 GOTHAM STREET, WATERTOWN, NY 13601
(315) 788-7323
(315) 788-9653

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2201501F
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00987279
NY
Enumeration date
06/02/2005
Last updated
09/22/2023
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