Provider Demographics
NPI:1275250821
Name:GRANE HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:GRANE HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-810-1079
Mailing Address - Street 1:124 CENTERPOINT BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-6133
Mailing Address - Country:US
Mailing Address - Phone:570-213-7670
Mailing Address - Fax:570-213-7673
Practice Address - Street 1:124 CENTERPOINT BLVD
Practice Address - Street 2:
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-6133
Practice Address - Country:US
Practice Address - Phone:570-213-7670
Practice Address - Fax:570-213-7673
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRANE HOSPICE CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based