Organization
BLUEBONNET HOSPICE OF EAST TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE FETTINGER (CEO CFO)
(817) 275-1040
Entity
Organization
Contact information
Practice address
7524 S BROADWAY AVE STE 113, TYLER, TX 75703-5000
(903) 561-7751
Mailing address
3607 W PIONEER PKWY, PANTEGO, TX 76013-4504
(817) 275-1040
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
010273
TX
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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