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Organization

HARBOR HOSPICE OF CENTRAL HOUSTON LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN CARTER (EXEC ADMIN ASST)
(409) 730-2046
Entity
Organization

Contact information

Practice address
11980 KIRBY DR STE 220, HOUSTON, TX 77045-4860
(713) 777-5290
(713) 583-8927
Mailing address
3406 COLLEGE ST, SUITE 200, BEAUMONT, TX 77701-4612
(409) 813-2332
(409) 838-7598

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014160
TDADS LICENSE
TX
01
67-1711
MEDICARE PTAN
Enumeration date
05/05/2011
Last updated
06/10/2021
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