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Organization

REAL LIFE HEALTHCARE SERVICES, LLC

Active
Other names
River City Hospice & Palliative Care
Organization subpart
No

Provider details

NPI number
Authorized official
JANET R MONTAGNE (CHIEF EXECUTIVE OFFICER)
(409) 201-9655
Entity
Organization

Contact information

Practice address
6523 MOSS OAK DR, SAN ANTONIO, TX 78229-4221
(210) 858-9138
(210) 568-4171
Mailing address
PO BOX 20595, BEAUMONT, TX 77720-0595
(210) 858-9138
(210) 568-4171

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001019122
TX
01
013328
STATE LICENSE
01
67-1655
MEDICARE PROVIDER NUMBER
Enumeration date
03/28/2010
Last updated
02/29/2024
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