Organization
MONTICELLO HOSPICE LLC
Active
Other names
Monticello Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TUCKER REED (CHEIF OPERATING OFFICER)
(910) 273-5550
Entity
Organization
Contact information
Practice address
4720 HWY 17 BYPASS SOUTH, SUITE F, MYRTLE BEACH, SC 29577
(843) 293-6132
(843) 293-6133
Mailing address
405 N ELM ST, LUMBERTON, NC 28358-5556
(910) 345-0030
(910) 345-0041
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
HPC105
SC
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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