Organization
BLUEBONNET HOSPICE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE M FETTINGER (ADMINISTRATOR CEO)
(940) 381-0053
Entity
Organization
Contact information
Practice address
1517 CENTRE PLACE DR, SUITE 220, DENTON, TX 76205-7273
(940) 381-0055
(940) 381-0224
Mailing address
3613 W PIONEER PKWY, STE B, PANTEGO, TX 76013-4528
(817) 275-1040
(817) 274-4452
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
010319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014532
—
TX
Enumeration date
12/04/2006
Last updated
09/17/2010
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