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NPI Code Detail

MEDICARE: ALL AMERICAN HOSPICE, LLC

MEDICARE: ALL AMERICAN HOSPICE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1316564685
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL AMERICAN HOSPICE, LLC
Provider Business Mailing Address
First Line : 1906 SKYLINE BLVD
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-3388
Country : US
Telephone Number : 989-598-7822
Fax Number :
Provider Business Practice Location Address
First Line : 1906 SKYLINE BLVD
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-3388
Country : US
Telephone Number : 989-598-7822
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : IJAZ YAQOOB
Credential :
Telephone Number : 989-598-7822
Provider Enumeration Date : 07/02/2020
Last Update Date : 07/02/2020

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Directions to “ALL AMERICAN HOSPICE, LLC ” Practice Location

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