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General NPI Number Information
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NPI Number | 1275992760
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Entity Type | Organization
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Legal Business Name | PALLI-MED HOSPICE, LLC
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Dates
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Enumeration Date | 02/12/2016
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 817 N WARE RD SUITE 4
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City | MCALLEN
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State | TX
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Zip | 78501
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Country | US
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Telephone | 956-627-2744
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 E MAIN AVE SUITE B
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City | ALTON
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State | TX
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Zip | 78573-1661
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Country | US
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Telephone | 956-627-2744
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Fax | 956-627-5625
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PAMELA EYAMBE
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Credential | RN,BSN
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Telephone | 956-627-2744
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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 | 016955
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License Number State | TX
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