MEDICARE: A TOUCH OF FAITH HOSPICE CARE 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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1972062305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A TOUCH OF FAITH HOSPICE CARE LLC

Provider Business Mailing Address
First Line	:	2606 INDIAN TRAIL DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-5200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2606 INDIAN TRAIL DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-5200
Country	:	US
Telephone Number	:	281-914-1962
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LARRY LITTLE
Credential	:
Telephone Number	:	281-914-1962

Provider Enumeration Date	:	03/15/2019
Last Update Date	:	03/15/2019

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