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NPI Code Detail

MEDICARE: MARS HOSPICE LLC

MEDICARE: MARS 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 : 1811620503
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARS HOSPICE LLC
Provider Business Mailing Address
First Line : 11709 SHOAL LANDING ST
Second Line :
City : PEARLAND
State : TX
Zip : 77584-8758
Country : US
Telephone Number : 346-445-2705
Fax Number :
Provider Business Practice Location Address
First Line : 1225 25TH ST N STE 100E
Second Line :
City : TEXAS CITY
State : TX
Zip : 77590-5170
Country : US
Telephone Number : 346-379-1541
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CYNTHIA MAHY
Credential :
Telephone Number : 346-379-1541
Provider Enumeration Date : 07/08/2022
Last Update Date : 07/08/2022

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Directions to “MARS HOSPICE LLC ” Practice Location

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