Organization
LIFEPATH HOSPICE AND PALLIATIVE CARE INC
Active
Organization
LIFEPATH HOSPICE AND PALLIATIVE CARE INC
Active
Other names
Good Shepherd Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE H WALLACE (EXECUTIVE VICE PRESIDENT)
(813) 871-8111
Entity
Organization
Contact information
Practice address
12973 N TELECOM PKWY, STE 100, TEMPLE TERRACE, FL 33637-0907
(813) 871-8111
(813) 975-9621
Mailing address
12973 N TELECOM PKWY, STE 100, TEMPLE TERRACE, FL 33637-0907
(813) 871-8111
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/31/2005
Last updated
08/22/2020
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