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General NPI Number Information
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NPI Number | 1346018561
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Entity Type | Organization
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Legal Business Name | JOURNEY HOSPICE LLC
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 1314 W SAINT JOSEPH ST
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City | PERRYVILLE
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State | MO
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Zip | 63775-1563
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Country | US
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Telephone | 573-605-1202
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Fax | 573-605-1203
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Provider Business Mailing Address
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Address Line | 1314 W SAINT JOSEPH ST
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City | PERRYVILLE
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State | MO
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Zip | 63775-1563
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Country | US
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Telephone | 573-605-1202
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Fax | 573-605-1203
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Authorized Official
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Title or Position | MANAGER
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Name | JENNIFER N CISSELL
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Credential | RN
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Telephone | 573-517-3705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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