NPI 1053579102

Grant Memorial Homecare and Hospice, LLC

Organisation Community Based Hospice Care Agency Petersburg, WV

Practice location

Address: 100 Hospital Drive Suite 2, Petersburg, WV 26847-9409
Phone: (304) 257-2005
Fax: (304) 257-2093
Mailing address: PO Box 51266, Lafayette, LA 70505-1266

Authorised official

Name: Joshua L Proffitt
Title: President
Phone: (337) 233-1307

Registered specialties (2)

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X Licence 16 (WV)

Other Hospice Care, Community Based providers in West Virginia →

Inpatient Hospice

Nursing & Custodial Care Facilities Taxonomy 315D00000X

Other Hospice, Inpatient providers in West Virginia →

Registry record

NPI: 1053579102
Entity type: Organization
NPI issued: 27 May 2008
Record last updated: 6 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.