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NPI Code Detail

MEDICARE: HARBOR HOSPICE OF PORTLAND, LP

MEDICARE: HARBOR HOSPICE OF PORTLAND, LP
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 : 1245577873
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARBOR HOSPICE OF PORTLAND, LP
Provider Business Mailing Address
First Line : 3406 COLLEGE ST
Second Line : SUITE 200
City : BEAUMONT
State : TX
Zip : 77701-4612
Country : US
Telephone Number : 409-813-2332
Fax Number : 409-232-0573
Provider Business Practice Location Address
First Line : 1850 BILLY G WEBB
Second Line :
City : PORTLAND
State : TX
Zip : 78374-3707
Country : US
Telephone Number : 361-413-0900
Fax Number : 361-704-1596
Authorized Official
Title or Position : EXEC ADMIN ASSISTANT
Name : KAREN CARTER
Credential :
Telephone Number : 409-730-2046
Provider Enumeration Date : 01/16/2013
Last Update Date : 07/30/2021

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Directions to “HARBOR HOSPICE OF PORTLAND, LP ” Practice Location

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