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HEARTLAND HOSPICE SERVICES LLC
>> Hospice Care, Community Based >> AgenciesRegistrant NPI Number: 1659300564
Organizational Registrant:Organization Name: HEARTLAND HOSPICE SERVICES LLC
Organization is not Subpart
Authorized Official: MARTIN D ALLEN DIRECTOR 419--25-25734
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
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
Tel: 419-254-7841 Fax: 419-252-6448
Registration Information:
NPI: 1659300564
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 251G00000X | Agencies Hospice Care, Community Based | VA | HSP-0768 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 004910575 | VA | 05 |
