Organization Name: | MISSION HOSPICE OF HOUSTON, LLC |
NPI Number: | 1033359971 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL CRAIG KELLY (PRESIDENT) |
Mailing Address: | 1500 Sunset Dr Friendswood |
State: | TX US |
Postal Code: | 775464724 |
Phone Number: | 2819924300 |
Fax Number: | 2819920964 |
NPI Enumeration Date: | 03/05/2009 |
NPI Last Update Date: | 03/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 010571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |