Basic Information
Provider Information
NPI: 1568703890
EntityType: 2
ReplacementNPI:  
OrganizationName: PF DEVELOPMENT 7, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: KINDRD HOSPICE
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 655 BRAWLEY SCHOOL RD STE 200
Address2:  
City: MOORESVILLE
State: NC
PostalCode: 281179601
CountryCode: US
TelephoneNumber: 7046642876
FaxNumber: 7046641306
Practice Location
Address1: 184 GULF FWY S
Address2: STE A2
City: LEAGUE CITY
State: TX
PostalCode: 775733582
CountryCode: US
TelephoneNumber: 2813324519
FaxNumber: 2813381561
Other Information
ProviderEnumerationDate: 03/12/2013
LastUpdateDate: 11/20/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: KLEBERG
AuthorizedOfficialFirstName: JESSICA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: SVP OF LEGAL AND COMPLIANCE
AuthorizedOfficialTelephone: 7046642876
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251G00000X  Y AgenciesHospice Care, Community Based 

No ID Information.


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