Organization
HEARTLAND HOSPICE SERVICES LLC
Active
Other names
ProMedica Hospice (Woodbury), ProMedica Hospice (Northfield)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
1385 CHEWS LAND-CLEM ROAD, UNIT 4, LAUREL SPRINGS, NJ 08021
(856) 251-0707
(856) 251-9937
Mailing address
333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604-2615
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
22925
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058572
—
NJ
05
—
8739200
—
NJ
Enumeration date
05/19/2006
Last updated
04/28/2022
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