| Organization Name: | DIERKSEN HOSPICE LLC |
| NPI Number: | 1326430489 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAUN T DIERKSEN (CEO) |
| Mailing Address: | 121 E Frank St Grand Saline |
| State: | TX US |
| Postal Code: | 751401823 |
| Phone Number: | 9039627597 |
| Fax Number: | 9039623406 |
| NPI Enumeration Date: | 02/26/2015 |
| NPI Last Update Date: | 04/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |