| Organization Name: | TRIO HOSPICE - RURAL INC |
| NPI Number: | 1477920809 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VAN PHAN VILLA (ALTERNATE ADMINISTRATOR) |
| Mailing Address: | 304 E San Patricio Ave Mathis |
| State: | TX US |
| Postal Code: | 783682350 |
| Phone Number: | 3617286336 |
| Fax Number: | |
| NPI Enumeration Date: | 09/02/2015 |
| NPI Last Update Date: | 09/02/2015 |
| 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: | |