Organization Name: | QUALITY REGIONAL HOSPICE, LLC |
NPI Number: | 1780811638 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MILTON M. GROVER (PRESIDENT) |
Mailing Address: | 1107 Manassas Dr Forney |
State: | TX US |
Postal Code: | 751266514 |
Phone Number: | 4697620303 |
Fax Number: | 4693550340 |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | APPLIED |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |