| Organization Name: | SOUTHEAST TEXAS HOSPICE |
| NPI Number: | 1720162506 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY MCKENNA (EXECUTIVE DIRECTOR) |
| Mailing Address: | 912 W Cherry Ave Orange |
| State: | TX US |
| Postal Code: | 776305017 |
| Phone Number: | 4098860622 |
| Fax Number: | 4098860623 |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 002033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |