Healthcare Provider Details

I. General information

NPI: 1003872276
Provider Name (Legal Business Name): AVOW HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 WHIPPOORWILL LN
NAPLES FL
34105-3847
US

IV. Provider business mailing address

1205 WHIPPOORWILL LN
NAPLES FL
34105-5028
US

V. Phone/Fax

Practice location:
  • Phone: 239-261-4404
  • Fax: 239-280-5998
Mailing address:
  • Phone: 239-304-1600
  • Fax: 239-280-5998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number5022096
License Number StateFL

VIII. Authorized Official

Name: MS. PHYLLIS HALL
Title or Position: CFO
Credential:
Phone: 239-261-4404