Organization
ASERACARE HOSPICE
Active
Organization
ASERACARE HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS L. JORDAN RN, CCM (DIRECTOR OF CLINICAL SERVICES)
(512) 218-9890
Entity
Organization
Contact information
Practice address
1212 E PALM VALLEY BLVD, ROUND ROCK, TX 78664-3202
(512) 218-9890
Mailing address
1212 E PALM VALLEY BLVD, ROUND ROCK, TX 78664-3202
(512) 218-9890
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
000215600
TX
Other
Enumeration date
02/14/2007
Last updated
08/06/2008
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