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NPI Code Detail

MEDICARE: DIGNITAS HOSPICE, INC.

MEDICARE: DIGNITAS HOSPICE, INC.
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 : 1932366002
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIGNITAS HOSPICE, INC.
Provider Business Mailing Address
First Line : 2376 COURT CIR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-3509
Country : US
Telephone Number : 757-301-9072
Fax Number :
Provider Business Practice Location Address
First Line : 2376 COURT CIR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-3509
Country : US
Telephone Number : 757-301-9072
Fax Number :
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : MR. CHRISTOPHER STAFFORD YOUNG
Credential :
Telephone Number : 757-717-0639
Provider Enumeration Date : 05/16/2008
Last Update Date : 05/16/2008

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Directions to “DIGNITAS HOSPICE, INC. ” Practice Location

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