Healthcare Provider Details

I. General information

NPI: 1396872651
Provider Name (Legal Business Name): LUTHERAN SUNSET MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 05/10/2021
Certification Date: 05/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 S. AVE D
CLIFTON TX
76634
US

IV. Provider business mailing address

410 N AVENUE G P.O. BOX 71
CLIFTON TX
76634-1530
US

V. Phone/Fax

Practice location:
  • Phone: 254-675-3391
  • Fax: 254-675-3493
Mailing address:
  • Phone: 254-675-3391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number010595
License Number StateTX

VIII. Authorized Official

Name: RODNEY RUETER
Title or Position: CEO/PRES
Credential:
Phone: 254-675-8637