- Enrollment id
- O20110106000888
- Enrollment state
- NC
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1275524621
- Multiple npi flag
- N
- Ccn
- 341530
- Associate id
- 4880507466
- Organization name
- HOSPICE OF HENDERSON COUNTY INC
- Doing business as name
- FOUR SEASONS THE CARE YOU TRUST
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 571 S ALLEN RD
- City
- FLAT ROCK
- State
- NC
- Zip code
- 287319447