Organization
FMC HOSPICE - CONROE LLC
Active
Other names
Embracing Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
RICH FOGLE (CFO)
(904) 493-6748
Entity
Organization
Contact information
Practice address
2040 NORTH LOOP 336 WEST, SUITE 324, CONROE, TX 77304-3592
(936) 788-5900
(936) 788-5902
Mailing address
50 N LAURA ST STE 1800, JACKSONVILLE, FL 32202-3614
(904) 493-6745
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001017834
—
TX
01
—
012053
STATE LICENSE
TX
Enumeration date
04/28/2008
Last updated
05/17/2012
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