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Organization

ST. JOSEPH'S HOSPICE

Active
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Organization

ST. JOSEPH'S HOSPICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUE E JOHNSON-PHILLIPPE FACHE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(304) 473-2118
Entity
Organization

Contact information

Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2276
(304) 473-2000
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2276
(304) 473-2000

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
23923495
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001139004
WV
Enumeration date
09/11/2006
Last updated
10/20/2023
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