Organization
HOSPICE PEACHTREE, LLC
Active
Organization
HOSPICE PEACHTREE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM PETRUS (CHIEF OPERATING OFFICER)
(903) 756-3860
Entity
Organization
Contact information
Practice address
129 W HOUSTON, LINDEN, TX 75563-1538
(903) 756-3860
(903) 756-3866
Mailing address
PO BOX 1538, LINDEN, TX 75563-1538
(903) 756-3860
(903) 756-3866
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
010123
TX
Other
Enumeration date
06/26/2008
Last updated
10/25/2010
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