Organization Name: | HEARTLAND HOSPICE AND HOME HEALTH LLC |
NPI Number: | 1629471990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE LIECK (ADMINISTRATOR) |
Mailing Address: | 109 W Benton Ave Ste B Devine |
State: | TX US |
Postal Code: | 780162948 |
Phone Number: | 8306638088 |
Fax Number: | 8443749968 |
NPI Enumeration Date: | 10/01/2014 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 016576 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |