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Organization

BRISTOL HOSPICE - PATHWAYS LLC

Active
Parent organization
BRISTOL HOSPICE LLC
Other names
Bristol Hospice - North Central Texas
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRISTOL HOSPICE LLC
Authorized official
ALEX MAURICIO (PRESIDENT CEO)
(801) 325-0175
Entity
Organization

Contact information

Practice address
1905 N HIGHWAY 77 STE 220, WAXAHACHIE, TX 75165-7916
(972) 923-2436
(972) 923-0043
Mailing address
206 N 2100 W, SUITE 202, SALT LAKE CITY, UT 84116-4740
(801) 325-0175
(801) 478-3533

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001025673
TX
Enumeration date
08/27/2012
Last updated
10/25/2024
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