Provider Demographics
NPI:1366758492
Name:AFFILIATES HOSPICE LLC
Entity type:Organization
Organization Name:AFFILIATES HOSPICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:KEDANIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-680-8769
Mailing Address - Street 1:80 MAPLE AVENUE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-1449
Mailing Address - Country:US
Mailing Address - Phone:610-664-0126
Mailing Address - Fax:610-672-9662
Practice Address - Street 1:80 MAPLE AVENUE
Practice Address - Street 2:SUITE 201
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-1449
Practice Address - Country:US
Practice Address - Phone:610-664-0126
Practice Address - Fax:610-672-9662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based