Organization
VIP HOSPICE, LLC
Active
Organization
VIP HOSPICE, LLC
Active
Other names
Bethany Hospice of East Texas
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY P. LASSITER (CEO)
(972) 248-2441
Entity
Organization
Contact information
Practice address
3500 NORTH ST, SUITE 1B, NACOGDOCHES, TX 75965-2472
(936) 559-8555
(972) 248-2442
Mailing address
5000 LEGACY DR, SUITE 360, PLANO, TX 75024-3100
(972) 248-2441
(972) 248-2442
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3584336-01
—
TX
Enumeration date
05/28/2014
Last updated
09/29/2016
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