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NPI Code Detail

MEDICARE: ENDEAVOR HOSPICE LLC

MEDICARE: ENDEAVOR 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1164970802
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENDEAVOR HOSPICE LLC
Provider Business Mailing Address
First Line : 3458 SAINT CLOUD CIR
Second Line :
City : DALLAS
State : TX
Zip : 75229-2634
Country : US
Telephone Number : 214-870-5178
Fax Number : 214-352-6136
Provider Business Practice Location Address
First Line : 3458 SAINT CLOUD CIR
Second Line :
City : DALLAS
State : TX
Zip : 75229-2634
Country : US
Telephone Number : 214-870-5178
Fax Number : 214-352-6136
Authorized Official
Title or Position : ADMINISTRATOR
Name : LAURA PEREZ
Credential :
Telephone Number : 214-870-5178
Provider Enumeration Date : 09/12/2016
Last Update Date : 09/12/2016

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Directions to “ENDEAVOR HOSPICE LLC ” Practice Location

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