Organization
GENESIS HOSPICE, LLC
Active
Other names
Modern Hospice, LLC, Modern Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOSEPH MARTIN (OWNER/MANAGER)
(504) 491-4988
Entity
Organization
Contact information
Practice address
15781 PROFESSIONAL PLZ, HAMMOND, LA 70403-1452
(985) 429-0210
(877) 293-6687
Mailing address
15781 PROFESSIONAL PLZ, HAMMOND, LA 70403-1452
(985) 429-0210
(877) 293-6687
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
86
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580481
—
LA
Enumeration date
03/16/2006
Last updated
05/01/2023
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