Organization
365 HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN C REZK (CFO)
(814) 419-4901
Entity
Organization
Contact information
Practice address
355 N 21ST ST STE 207, CAMP HILL, PA 17011-3707
(717) 730-6734
(717) 730-6735
Mailing address
119 S MAIN ST, CARROLLTOWN, PA 15722-0477
(814) 419-4901
(814) 419-4902
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020513330004
—
PA
Enumeration date
01/19/2009
Last updated
03/17/2018
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