Organization Name: | COVENANT HOSPICE & PALLIATIVE CARE, LP |
NPI Number: | 1396742805 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID P CAPPER (ADMINISTRATOR) |
Mailing Address: | 3221 Collinsworth St Ste 160 Fort Worth |
State: | TX US |
Postal Code: | 761076577 |
Phone Number: | 8177358741 |
Fax Number: | 8177358836 |
NPI Enumeration Date: | 06/30/2005 |
NPI Last Update Date: | 07/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 007583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |