| Organization Name: | BLUE BONNET PALLIATIVE CARE, PLLC |
| NPI Number: | 1770873895 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT D RITTER (PRESIDENT) |
| Mailing Address: | 12111 Ranch Road 12 Space 114 Wimberley |
| State: | TX US |
| Postal Code: | 786765244 |
| Phone Number: | 8323405590 |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2011 |
| NPI Last Update Date: | 08/03/2012 |
| 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: | |