Organization
KELTON HOSPICE, INC.
Active
Other names
Heritage Hospice of East Texas
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE R RICH (OWNER/OPERATOR)
(903) 792-0716
Entity
Organization
Contact information
Practice address
5070 KINSEY DR, TYLER, TX 75703-3005
(903) 218-6870
(903) 218-6874
Mailing address
4605 TEXAS BLVD, TEXARKANA, TX 75503-3028
(903) 792-0716
(903) 792-0719
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
018670
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001027951
—
TX
Enumeration date
05/10/2012
Last updated
01/25/2022
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