Basic Information
| Provider Information | |||||||||
| NPI: | 1184925562 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HORIZONS HOSPICE, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 119 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | CARROLLTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 157220477 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8144194901 | ||||||||
| FaxNumber: | 8144194902 | ||||||||
| Practice Location | |||||||||
| Address1: | 3228 W CARY ST | ||||||||
| Address2: | SUITE B | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232213400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8043532702 | ||||||||
| FaxNumber: | 8043532719 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2010 | ||||||||
| LastUpdateDate: | 11/25/2013 | ||||||||
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| AuthorizedOfficialLastName: | REZK | ||||||||
| AuthorizedOfficialFirstName: | JONATHAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | V.P. OF FINANCE | ||||||||
| AuthorizedOfficialTelephone: | 8149465017 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | HORIZONS HOSPICE,LLC | ||||||||
| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251G00000X | Y | Agencies | Hospice Care, Community Based |
No ID Information.