Organization
CHARTER HEALTHCARE OF DALLAS, LLC
Active
Other names
Genesis HospiceCare
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIE BOAL ESQ (ATTORNEY)
(909) 644-4965
Entity
Organization
Contact information
Practice address
1317 S PALESTINE ST, ATHENS, TX 75751-3600
(903) 675-4730
(903) 904-5003
Mailing address
1317 S PALESTINE ST, ATHENS, TX 75751-3600
(903) 675-4730
(903) 904-5003
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
004415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000215000
—
TX
Enumeration date
07/07/2005
Last updated
10/06/2021
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