Organization
ST. MICHAEL'S HOSPICE CORPORATION
Active
Organization
ST. MICHAEL'S HOSPICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DAVID ROPPOLO (ADMINISTRATOR)
(214) 866-0233
Entity
Organization
Contact information
Practice address
4350 SIGMA RD STE 400, DALLAS, TX 75244-4421
(214) 866-0233
(214) 866-0232
Mailing address
10214 INWOOD RD, DALLAS, TX 75229-6550
(214) 866-0233
(214) 866-0232
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
008501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7667499
AETNA
TX
05
—
D01012042
—
TX
01
—
H0HH011C01
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/28/2006
Last updated
11/01/2008
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