- Enrollment id
- O20110830000311
- Enrollment state
- OH
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1346220142
- Multiple npi flag
- N
- Ccn
- 361501
- Associate id
- 7517990088
- Organization name
- THE HOSPICE OF DAYTON, INC.
- Doing business as name
- HOSPICE OF DAYTON
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 324 WILMINGTON AVE
- City
- DAYTON
- State
- OH
- Zip code
- 454201890