Organization
IMPERIAL HOSPICE, LLC
Active
Other names
River City Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET R MONTAGNE (CEO)
(409) 201-9655
Entity
Organization
Contact information
Practice address
1950 9TH AVE, PORT ARTHUR, TX 77642-2774
(409) 833-2800
(409) 838-1152
Mailing address
PO BOX 20595, BEAUMONT, TX 77720
(409) 833-2800
(409) 838-1152
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001021090
—
TX
01
—
67-1717
MEDICARE
—
Enumeration date
08/17/2011
Last updated
12/23/2013
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