Organization Name: | FALCON SOUTH PLAINS HOSPICE LP |
NPI Number: | 1902004500 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIM BULLARD (PRESIDENT) |
Mailing Address: | 3305 101st St Ste 100 Lubbock |
State: | TX US |
Postal Code: | 794234076 |
Phone Number: | 8067910043 |
Fax Number: | 8066875958 |
NPI Enumeration Date: | 07/05/2007 |
NPI Last Update Date: | 08/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 010522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |