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Organization

WKRP HOUSTON LLC

Active
Other names
Autumn Care Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROLAND JAMES RADCLIFFE JR. (ADMINISTRATOR)
(281) 530-7829
Entity
Organization

Contact information

Practice address
7058 LAKEVIEW HAVEN DRIVE, SUITE 120, HOUSTON, TX 77095
(281) 530-7829
(281) 598-2897
Mailing address
7058 LAKEVIEW HAVEN DRIVE, SUITE 120, HOUSTON, TX 77095
(281) 530-7829
(281) 598-2897

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
012218
TX
251G00000X
Community Based Hospice Care Agency
Primary
16111
TX
251G00000X
Community Based Hospice Care Agency
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001019519
TX
Enumeration date
08/14/2008
Last updated
04/24/2014
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