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Organization

AMIBALE HOSPICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL NDUDIM (DIRECTOR)
(409) 234-7285
Entity
Organization

Contact information

Practice address
1123 ARUM, MISSOURI CITY, TX 77489-2356
(409) 234-7285
Mailing address
1123 ARUM, MISSOURI CITY, TX 77489-2356
(409) 234-7285

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
TX
01
NA
NA
05
NA
TX
Enumeration date
10/27/2017
Last updated
06/16/2018
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