Provider Demographics
NPI:1578205266
Name:HASLUP HOSPICE ENTERPRISES, LTD
Entity Type:Organization
Organization Name:HASLUP HOSPICE ENTERPRISES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NAGLE
Authorized Official - Last Name:HASLUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-295-5501
Mailing Address - Street 1:516 S INDEPENDENCE BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1153
Mailing Address - Country:US
Mailing Address - Phone:757-644-6820
Mailing Address - Fax:
Practice Address - Street 1:516 S INDEPENDENCE BLVD STE 107
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1153
Practice Address - Country:US
Practice Address - Phone:757-644-6820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HASLUP HOSPICE ENTERPRISES, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty