Provider Demographics
NPI:1518144831
Name:PHC HOSPICE, INC.
Entity Type:Organization
Organization Name:PHC HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:DURRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:843-266-2827
Mailing Address - Street 1:1917 MAYBANK HWY
Mailing Address - Street 2:APT B
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2115
Mailing Address - Country:US
Mailing Address - Phone:843-266-2827
Mailing Address - Fax:
Practice Address - Street 1:1917 MAYBANK HWY
Practice Address - Street 2:APT B
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-2115
Practice Address - Country:US
Practice Address - Phone:843-266-2827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based