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HEARTLAND HOSPICE SERVICES LLC

>> Hospice Care, Community Based >> Agencies

Registrant NPI Number: 1659300564

Organizational Registrant:
Organization Name:  HEARTLAND HOSPICE SERVICES LLC
Organization is not Subpart
Authorized Official:  MARTIN D ALLEN  DIRECTOR  419--25-25734

Location and contact information for practice:
3900 JERMANTOWN RD SUITE 460 FAIRFAX, VA 22030-4900 US
Tel: 703-273-8693  Fax: 703-273-8694

Contact information for business:
333 N SUMMIT ST ATTN: DEAN SHIPMAN TOLEDO, OH 43604-2615 US
Tel: 419-254-7841  Fax: 419-252-6448

Registration Information:
NPI: 1659300564
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251G00000XAgencies
Hospice Care, Community Based
VAHSP-0768

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
004910575VA05




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