Organization
WKRP HOUSTON LLC
Active
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
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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