KOSCIUSKO HOME CARE & HOSPICE INC NPI 1992857973

NPI Information

KOSCIUSKO HOME CARE & HOSPICE INC is a hospice care community based in Warsaw, IN. KOSCIUSKO HOME CARE & HOSPICE INC NPI is 1992857973. The provider is registered as an organization entity type.

The provider's business location address is:

1515 PROVIDENT DR
SUITE 250
WARSAW, IN
ZIP 46580-294
Phone: (574) 372-3401
Fax: (574) 372-3415

The provider's authorized official is Richard R Paczkowski .
The authorized official title is Administrator and has the following contact phone number (574) 372-3401.

The CLIA number assigned to this NPI record is 15D2299028 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 5/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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