| NPI | 1215109962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANTOINETTE GORDON Alt Administrator 254-899-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: TX 011986) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: TX 009574) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2009-04-16 |