Organization
PRIME CARE HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BENJAMIN SLATER (EXECUTIVE DIRECTOR)
(903) 291-6164
Entity
Organization
Contact information
Practice address
707 HOLLYBROOK DR STE 404, LONGVIEW, TX 75605-2410
(903) 291-6164
(903) 291-6176
Mailing address
707 HOLLYBROOK DR STE 404, LONGVIEW, TX 75605-2410
(903) 291-6164
(903) 291-6176
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001031489
—
TX
Enumeration date
09/10/2019
Last updated
04/08/2022
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