Organization
PRODIGIOUS HOSPICES LLC
Active
Organization
PRODIGIOUS HOSPICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFF COLACINO (ADMINISTRATOR)
(210) 946-1367
Entity
Organization
Contact information
Practice address
9000 TESORO DR STE 200, SAN ANTONIO, TX 78217-6132
(210) 946-1367
(210) 756-3003
Mailing address
9000 TESORO DR STE 200, SAN ANTONIO, TX 78217-6132
(210) 946-1367
(210) 756-3003
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
10/30/2024
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