Organization Name: | HOMEBOUND HOSPICE, INC. |
NPI Number: | 1417026527 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY JEAN BUSCH (ADMINISTRATOR) |
Mailing Address: | 450 W Main St Azle |
State: | TX US |
Postal Code: | 760202933 |
Phone Number: | 8174447992 |
Fax Number: | 8174447768 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 12/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 006257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |