Organization Name: | ADVANCE HOSPICE CARE OF AMERICA, INC |
NPI Number: | 1215969829 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WING H CHUN (CEO) |
Mailing Address: | 1177 Rockingham Dr Suite 200 Richardson |
State: | TX US |
Postal Code: | 750804372 |
Phone Number: | 9722488829 |
Fax Number: | 9728189489 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 09/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 007562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |