| Organization Name: | ST. MICHAEL'S HOSPICE CORPORATION |
| NPI Number: | 1235186818 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK DAVID ROPPOLO (ADMINISTRATOR) |
| Mailing Address: | 4350 Sigma Rd Ste 400 Dallas |
| State: | TX US |
| Postal Code: | 752444421 |
| Phone Number: | 2148660233 |
| Fax Number: | 2148660232 |
| NPI Enumeration Date: | 05/28/2006 |
| NPI Last Update Date: | 11/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 008501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |