Organization
PREFERRED HOSPICE INC.
Active
Other names
Legacy Hospice & Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE SHELTON VENCILL (ADMINISTRATOR)
(276) 596-9181
Entity
Organization
Contact information
Practice address
128 GLENWOOD ST, CEDAR BLUFF, VA 24609-9440
(276) 596-9181
(276) 596-9182
Mailing address
128 GLENWOOD ST, CEDAR BLUFF, VA 24609-9440
(276) 596-9181
(276) 596-9182
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010147565
—
VA
Enumeration date
08/18/2006
Last updated
04/13/2026
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