Organization
DIGNITY HOSPICE OF SOUTHERN WEST VIRGINIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN P GORE (ACCOUNTING CLERK)
(304) 855-4764
Entity
Organization
Contact information
Practice address
557 MAIN STREET, CHAPMANVILLE, WV 25508
(304) 855-4764
Mailing address
557 MAIN STREET, PO BOX 4304, CHAPMANVILLE, WV 25508
(304) 855-4764
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
02940195
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005642000
—
WV
Enumeration date
05/03/2006
Last updated
07/14/2014
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