Organization
HOSPICE BRAZOS VALLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MCNAIR (PRESIDENT/CEO)
(979) 821-2266
Entity
Organization
Contact information
Practice address
502 W 26TH ST, BRYAN, TX 77803-2426
(979) 821-2266
(979) 821-2763
Mailing address
502 W 26TH ST, BRYAN, TX 77803-2426
(979) 821-2266
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037
—
TX
01
—
2186
DEPT OF AGING
TX
Enumeration date
08/11/2005
Last updated
12/13/2022
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