Organization Name: | ALTUS HOSPICE OF BEAUMONT, LP |
NPI Number: | 1497058457 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK MULLINAX (SR. VP OF OPERATIONS) |
Mailing Address: | 370 North 10th Street Beaumont |
State: | TX US |
Postal Code: | 777021902 |
Phone Number: | 4098324582 |
Fax Number: | 4098326345 |
NPI Enumeration Date: | 12/14/2010 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 014698 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |