Organization Name: | SETON HIGHLAND LAKES HOSPICE LLC |
NPI Number: | 1255354189 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERTA ROSE (REGIONAL VP) |
Mailing Address: | 309 Industrial Blvd Burnet |
State: | TX US |
Postal Code: | 78611 |
Phone Number: | 5127568003 |
Fax Number: | 5127568046 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 04/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 016740 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |