Organization
HERITAGE HOSPICE OF TEXARKANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE RICH (OWNER, CEO)
(903) 792-0716
Entity
Organization
Contact information
Practice address
4605 TEXAS BLVD, TEXARKANA, TX 75503-3028
(903) 792-0716
(903) 792-0719
Mailing address
4605 TEXAS BLVD, TEXARKANA, TX 75503-3028
(903) 792-0716
(903) 792-0719
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
012655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001018745
—
TX
Enumeration date
02/13/2008
Last updated
07/21/2022
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