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General NPI Number Information
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NPI Number | 1134546641
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Entity Type | Organization
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Legal Business Name | CHARIS HOSPICE LLC.
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Dates
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Enumeration Date | 03/21/2014
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 3724 EXECUTIVE CENTER DR STE 220
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City | AUSTIN
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State | TX
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Zip | 78731-1638
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Country | US
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Telephone | 737-484-0080
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Fax | 737-484-0086
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Provider Business Mailing Address
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Address Line | 6760 OLD JACKSONVILLE HIGHWAY STE 101
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City | TYLER
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State | TX
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Zip | 75703-0566
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Country | US
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Telephone | 903-363-9932
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Fax | 817-326-2436
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | KATRINA DAWN LANIER
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Credential |
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Telephone | 903-932-1852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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