| Organization Name: | COUNTRY TRAILS HOSPICE,LTD. |
| NPI Number: | 1952418337 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN A. MARINICK (PRESIDENT OF THE GENERAL PARTNER) |
| Mailing Address: | 121 E Frank St Grand Saline |
| State: | TX US |
| Postal Code: | 751401823 |
| Phone Number: | 9039627597 |
| Fax Number: | 9039623406 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 02/17/2011 |
| 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: | |