Organization
BLUE WATER HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PRESCOTT RN (ADMINISTRATOR)
(919) 667-7823
Entity
Organization
Contact information
Practice address
660 S BAGDAD RD STE 210, LEANDER, TX 78641-5048
(919) 667-7823
Mailing address
660 S BAGDAD RD STE 210, LEANDER, TX 78641-5048
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
02/13/2023
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