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NPI Code Detail

MEDICARE: TRADITIONS HOSPICE OF RICHMOND, LLC

MEDICARE: TRADITIONS HOSPICE OF RICHMOND, 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 : 1538740048
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRADITIONS HOSPICE OF RICHMOND, LLC
Provider Business Mailing Address
First Line : PO BOX 9980
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77842-7980
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 JACKSON ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3109
Country : US
Telephone Number : 832-774-2000
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CEO
Name : DAVID KLEMENTZ
Credential :
Telephone Number : 979-704-6547
Provider Enumeration Date : 04/16/2021
Last Update Date : 04/16/2021

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Directions to “TRADITIONS HOSPICE OF RICHMOND, LLC ” Practice Location

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