Organization Name: | ENERGY DOCS DBA SUMMIT HOSPICE |
NPI Number: | 1497119606 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGG ALLEN (OWNER) |
Mailing Address: | 3305 Ne Loop 286 Ste. D Paris |
State: | TX US |
Postal Code: | 754603459 |
Phone Number: | 9037854357 |
Fax Number: | 9037842487 |
NPI Enumeration Date: | 04/13/2016 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 017326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |