Healthcare Provider Details
I. General information
NPI: 1619903598
Provider Name (Legal Business Name): HOSPICE HANDS OF WEST TEXAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2006
Last Update Date: 05/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
305 N MAIN
LOCKNEY TX
79241-1118
US
IV. Provider business mailing address
PO BOX 1118
LOCKNEY TX
79241-1118
US
V. Phone/Fax
- Phone: 806-652-3000
- Fax: 806-652-2766
- Phone: 806-652-3000
- Fax: 806-652-2766
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name:
DONNA
NELL
GLASSCOCK SCHUR
Title or Position: FINANCIAL DIRECTOR
Credential:
Phone: 806-652-3000