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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