Organization
GENTLE SHEPHERD HOSPICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD ECKENROTH III (PRESIDENT)
(540) 989-6265
Entity
Organization
Contact information
Practice address
154 HANSEN RD, SUITE 202-C, CHARLOTTESVILLE, VA 22911-8839
(434) 220-6002
(434) 202-1365
Mailing address
6045 PETERS CREEK RD, ROANOKE, VA 24019-4029
(540) 989-6265
(540) 989-1547
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSP-10172
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4910133
—
VA
Enumeration date
06/01/2010
Last updated
06/01/2010
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