| Organization Name: | AUTUMN JOURNEY HOSPICE, INC. |
| NPI Number: | 1235121484 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD E. HOLLINGSWORTH (PRESIDENT) |
| Mailing Address: | 5347 Spring Valley Rd Dallas |
| State: | TX US |
| Postal Code: | 752543009 |
| Phone Number: | 9722330525 |
| Fax Number: | 0722330553 |
| NPI Enumeration Date: | 08/15/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 009696 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |