Organization Name: | VICTORY HOSPICE OF TEXAS, LLC |
NPI Number: | 1194852251 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID OCHOA (ADMINISTRATOR) |
Mailing Address: | 3900 Joe Ramsey Blvd E Bldg. #4, Suite C Greenville |
State: | TX US |
Postal Code: | 754017727 |
Phone Number: | 9034589012 |
Fax Number: | 8557107022 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 04/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 011512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |