Organization
FMC - DEEP EAST TEXAS LLC
Active
Other names
Embracing Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
RICH FOGLE (CFO)
(904) 493-6748
Entity
Organization
Contact information
Practice address
317 W CHURCH ST, SUITE 112, LIVINGSTON, TX 77351-3201
(936) 327-9991
(936) 327-9995
Mailing address
50 N LAURA ST STE 1800, JACKSONVILLE, FL 32202-3614
(904) 493-6745
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
010406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014561
—
TX
01
—
010406
STATE LICENSE
TX
Enumeration date
05/04/2006
Last updated
05/17/2012
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