| Organization Name: | HARBOR HOSPICE OF GULF COAST, LP |
| NPI Number: | 1003993585 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRAD THIBODAUX (CHIEF DATA OFFICER) |
| Mailing Address: | 400 Enterprise Boulevard 1-3 Rockport |
| State: | TX US |
| Postal Code: | 783824333 |
| Phone Number: | 3617271232 |
| Fax Number: | 3617271244 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 01/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |