Organization Name: | PF DEVELOPMENT 17, LLC |
NPI Number: | 1184965543 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARTHUR L. ROTHGERBER (SR VICE PRESIDENT OF REIMBURSMENT) |
Mailing Address: | 7213 New Sanger Rd Waco |
State: | TX US |
Postal Code: | 767127927 |
Phone Number: | 2547511972 |
Fax Number: | 2547411131 |
NPI Enumeration Date: | 03/11/2013 |
NPI Last Update Date: | 07/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
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