Organization Name: | PALLI-MED HOSPICE LLC |
NPI Number: | 1548509466 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA EYAMBE (ADMINISTRATOR) |
Mailing Address: | 1310 E. Main Ave Suite B Alton |
State: | TX US |
Postal Code: | 78573 |
Phone Number: | 9566272744 |
Fax Number: | 9566275625 |
NPI Enumeration Date: | 02/13/2013 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 016955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |