Organization Name: | OMEGALIFE HOSPICE OF TEXAS, INC. |
NPI Number: | 1538599147 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOAQUIN C DIAZ (CEO) |
Mailing Address: | 13601 Preston Rd Suite 918 Dallas |
State: | TX US |
Postal Code: | 752404911 |
Phone Number: | 4695185508 |
Fax Number: | 4695185509 |
NPI Enumeration Date: | 11/18/2013 |
NPI Last Update Date: | 11/18/2013 |
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: |