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NPI Code Detail

MEDICARE: NEW AGE HOSPICE PALLIATIVE, LLC

MEDICARE: NEW AGE HOSPICE PALLIATIVE, 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 : 1205642329
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW AGE HOSPICE PALLIATIVE, LLC
Provider Business Mailing Address
First Line : 7304 GOOD SAMARITAN CT STE B
Second Line :
City : EL PASO
State : TX
Zip : 79912-1602
Country : US
Telephone Number : 915-533-0999
Fax Number :
Provider Business Practice Location Address
First Line : 7304 GOOD SAMARITAN CT STE B
Second Line :
City : EL PASO
State : TX
Zip : 79912-1602
Country : US
Telephone Number : 915-533-0999
Fax Number :
Authorized Official
Title or Position : DELEGATED AUTHORITY
Name : SUSAN MARBERRY
Credential : CCO
Telephone Number : 903-390-4040
Provider Enumeration Date : 12/04/2024
Last Update Date : 12/04/2024

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Directions to “NEW AGE HOSPICE PALLIATIVE, LLC ” Practice Location

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