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HERITAGE HOSPICE OF TEXARKANA LLC

Hospice, Inpatient

Texarkana, Texas

Provider NPI: 1689842536

Organization Information:
Organization Name:  HERITAGE HOSPICE OF TEXARKANA LLC


Practice Location:
4605 TEXAS BLVD  TEXARKANA, TX 75503 US
Tel: (90-3) -792-0716  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251G00000XAgencies
Hospice Care, Community Based
TX012655

Other Provider Identifiers:

IssuerNumberStateType
001018745TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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