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NPI Code Detail

MEDICARE: ALTHEA HOSPICE INC.

MEDICARE: ALTHEA HOSPICE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care AgencyTX

General Provider Information

NPI Number : 1346270709
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTHEA HOSPICE INC.
Provider Business Mailing Address
First Line : 3939 BELT LINE RD
Second Line : SUITE 355
City : ADDISON
State : TX
Zip : 75001-4323
Country : US
Telephone Number : 972-406-0003
Fax Number :
Provider Business Practice Location Address
First Line : 3939 BELT LINE RD
Second Line : SUITE 355
City : ADDISON
State : TX
Zip : 75001-4323
Country : US
Telephone Number : 972-406-0003
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. PAUL CHACKO
Credential :
Telephone Number : 972-406-0003
Provider Enumeration Date : 07/03/2006
Last Update Date : 08/22/2020

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Directions to “ALTHEA HOSPICE INC. ” Practice Location

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