MEDICARE: RELIEF HERO PALLIATIVE INC

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	:	1649853953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIEF HERO PALLIATIVE INC

Provider Business Mailing Address
First Line	:	2131 HEATHERWOOD DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-3277
Country	:	US
Telephone Number	:	844-489-4376
Fax Number	:

Provider Business Practice Location Address
First Line	:	2131 HEATHERWOOD DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-3277
Country	:	US
Telephone Number	:	844-489-4376
Fax Number	:

Authorized Official
Title or Position	:	ALTERNATE ADMINISTRATOR
Name	:	SYDNEY OBEN EBAI
Credential	:
Telephone Number	:	844-489-4376

Provider Enumeration Date	:	05/04/2021
Last Update Date	:	07/20/2021

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