| Organization Name: | HARBOR HOSPICE OF GEORGETOWN, LP |
| NPI Number: | 1457692139 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRAD THIBODAUX (CHIEF DATA OFFICER) |
| Mailing Address: | 7800 Shoal Creek Boulevard Suite 105n Austin |
| State: | TEXAS UM |
| Postal Code: | 78757 |
| Phone Number: | 5124437100 |
| Fax Number: | 5124437109 |
| NPI Enumeration Date: | 03/06/2013 |
| NPI Last Update Date: | 01/29/2016 |
| 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: | |