Organization
CROWN HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WINTERS (PRESIDENT)
(918) 492-6440
Entity
Organization
Contact information
Practice address
2858 PROFESSIONAL CT, CAPE GIRARDEAU, MO 63703-5035
(573) 335-4800
(573) 335-4805
Mailing address
2858 PROFESSIONAL CT, CAPE GIRARDEAU, MO 63703-5035
(573) 335-4800
(573) 335-4805
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
826299406
—
MO
Enumeration date
08/20/2006
Last updated
11/15/2019
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