| Organization Name: | BLUEBONNET HOSPICE CARE INC |
| NPI Number: | 1285792317 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE M FETTINGER (ADMINISTRATOR CEO) |
| Mailing Address: | 1517 Centre Place Dr Suite 220 Denton |
| State: | TX US |
| Postal Code: | 762057273 |
| Phone Number: | 9403810055 |
| Fax Number: | 9403810224 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 09/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 010319 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |