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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