Organization Name: | ATX HOSPICE INC |
NPI Number: | 1598156457 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELSEY SHULTS (OWNER) |
Mailing Address: | 9015 Mountain Ridge Dr Ste 210 Austin |
State: | TX US |
Postal Code: | 787597370 |
Phone Number: | 5124676900 |
Fax Number: | 5124676906 |
NPI Enumeration Date: | 02/13/2015 |
NPI Last Update Date: | 02/13/2015 |
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: |