Healthcare Provider Details

I. General information

NPI: 1922684059
Provider Name (Legal Business Name): PDSF HOSPICE & PALLIATIVE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2021
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 FOXTAIL DR
MANSFIELD TX
76063-2327
US

IV. Provider business mailing address

1205 FOXTAIL DR
MANSFIELD TX
76063-2327
US

V. Phone/Fax

Practice location:
  • Phone: 361-695-4037
  • Fax: 866-719-5470
Mailing address:
  • Phone: 361-695-4037
  • Fax: 866-719-5470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PETER ANOMNEZE
Title or Position: ADMINISTRATOR
Credential:
Phone: 361-695-4037