Organization
BLUEBONNET HOSPICE OF EAST TEXAS, INC.
Active
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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