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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