Organization
HOSPICE OF JEFFERSON COUNTY, INC.
Active
Parent organization
HOSPICE OF JEFFERSON COUNTY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPICE OF JEFFERSON COUNTY, INC.
Authorized official
FRANCES LYN SOURWINE (DIRECTOR OF FINANCE)
(315) 788-7323
Entity
Organization
Contact information
Practice address
531 WASHINGTON ST STE 1100, WATERTOWN, NY 13601-4037
(315) 755-6086
(315) 755-6092
Mailing address
1398 GOTHAM ST, WATERTOWN, NY 13601-9704
(315) 788-7323
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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