Organization
AVITACARE HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAIME RENE CHAPA RN (ALTERNATE ADMINISTRATOR)
(361) 658-4428
Entity
Organization
Contact information
Practice address
301 N KING ST STE 101, ALICE, TX 78332-4761
(361) 245-8803
(361) 245-8832
Mailing address
301 N KING ST STE 101, ALICE, TX 78332-4761
(361) 245-8803
(361) 245-8832
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
10/04/2020
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