MEDICARE: HEALTHWISE HOSPICE

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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1578508842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHWISE HOSPICE

Provider Business Mailing Address
First Line	:	607 W BROWN ST
Second Line	:
City	:	HEARNE
State	:	TX
Zip	:	77859-3018
Country	:	US
Telephone Number	:	979-279-9284
Fax Number	:	979-279-2032

Provider Business Practice Location Address
First Line	:	607 W BROWN ST
Second Line	:
City	:	HEARNE
State	:	TX
Zip	:	77859-3018
Country	:	US
Telephone Number	:	979-279-9284
Fax Number	:	979-279-2032

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. TONY MEEKS
Credential	:
Telephone Number	:	979-279-9284

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	08/22/2020

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Directions to “HEALTHWISE HOSPICE ” Practice Location

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