Organization
DSE ENTERPRISES, LLC
Active
Other names
Heavenly Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CASTILLO (CEO/CFO)
(210) 874-5005
Entity
Organization
Contact information
Practice address
6323 SOVEREIGN ST STE 187, SAN ANTONIO, TX 78229-5180
(210) 874-5005
(210) 874-5006
Mailing address
PO BOX 632, LEMING, TX 78050-0632
(210) 310-5534
(210) 231-0440
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
017362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001020736
—
TX
Enumeration date
06/08/2017
Last updated
06/26/2019
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