Organization
COMMUNITY HEALTHCARE OF TEXAS
Active
Organization
COMMUNITY HEALTHCARE OF TEXAS
Active
Other names
Providence Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA JINGLE (CEO)
(817) 870-2795
Entity
Organization
Contact information
Practice address
6700 SANGER AVENUE, WACO, TX 76710
(254) 399-9099
(254) 399-8397
Mailing address
6100 WESTERN PLACE, SUITE 105, FORT WORTH, TX 76107
(817) 870-2795
(817) 878-3717
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
007477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000201900
—
TX
05
—
001019692
—
TX
Enumeration date
06/10/2005
Last updated
01/03/2023
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