Organization
SHEPHERD LIVING HOSPICE LLC
Active
Organization
SHEPHERD LIVING HOSPICE LLC
Active
Parent organization
SHEPHERD LIVING HOSPICE
Other names
Four Seasons Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHEPHERD LIVING HOSPICE
Authorized official
MONA TALUKDAR (CEO/OWNER)
(210) 767-3870
Entity
Organization
Contact information
Practice address
15420 NACOGDOCHES RD, SAN ANTONIO, TX 78247
(210) 767-3870
Mailing address
15420 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1106
(210) 767-3870
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
016725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001029813
—
TX
01
—
016725
STATE LICENSE
TX
Enumeration date
09/12/2016
Last updated
04/06/2020
Update your record
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