MEDICARE: OUR LADY OF REMEDY HOSPICE,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1013052323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUR LADY OF REMEDY HOSPICE,LLC

Provider Business Mailing Address
First Line	:	10615 ROCKLEY RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-3513
Country	:	US
Telephone Number	:	713-554-0808
Fax Number	:	713-926-3608

Provider Business Practice Location Address
First Line	:	10615 ROCKLEY RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-3513
Country	:	US
Telephone Number	:	713-554-0808
Fax Number	:	713-926-3608

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. MARTIN R.G. MARASIGAN
Credential	:	ESQ
Telephone Number	:	713-554-0808

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	03/16/2008

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