Organization
HOSPICE OF WICHITA FALLS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN MARIE BANTA R.N. (CEO)
(940) 691-0982
Entity
Organization
Contact information
Practice address
4909 JOHNSON RD, WICHITA FALLS, TX 76310-2547
(940) 691-0982
(940) 691-1608
Mailing address
PO BOX 4804, WICHITA FALLS, TX 76308-0804
(940) 691-0982
(940) 691-1608
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
001947
TX
Other
Enumeration date
07/27/2005
Last updated
08/22/2020
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