Organization
MIDWESTERN HOSPICE LLC
Active
Other names
Midwestern Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA AMPADU DNP (OWNER)
(618) 257-0780
Entity
Organization
Contact information
Practice address
15 PARK PL STE E, SWANSEA, IL 62226-2918
(618) 257-0780
(618) 234-7242
Mailing address
15 PARK PL STE E, SWANSEA, IL 62226-2918
(618) 257-0780
(618) 234-7242
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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