Healthcare Provider Details

I. General information

NPI: 1992368443
Provider Name (Legal Business Name): LA FE HOSPICE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2019
Last Update Date: 04/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S BIRCH ST
PHARR TX
78577-5408
US

IV. Provider business mailing address

500 S BIRCH ST
PHARR TX
78577-5408
US

V. Phone/Fax

Practice location:
  • Phone: 956-252-4828
  • Fax:
Mailing address:
  • Phone: 956-252-4828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: FLOR LOZANO
Title or Position: OWNER/RN
Credential:
Phone: 956-252-4828