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Organization

SAFE HAVEN HOSPICE OF SOUTHERN ILLINOIS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY F PHILLIPPE (CEO)
(314) 587-7900
Entity
Organization

Contact information

Practice address
622 EMERSON RD, SUITE 310, SAINT LOUIS, MO 63141-6727
(314) 587-6727
Mailing address
622 EMERSON RD, SUITE 310, SAINT LOUIS, MO 63141-6727
(314) 587-6727

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
PENDING
IL
Enumeration date
03/16/2016
Last updated
03/16/2016
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