Organization
BLUEBONNET HOSPICE OF EAST TEXAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE FETTINGER (ADMINISTRATOR)
(817) 275-1040
Entity
Organization
Contact information
Practice address
211 N NEWSOM ST, SUITE B, MINEOLA, TX 75773-2133
(903) 763-2058
Mailing address
3613 W PIONEER PKWY STE B, PANTEGO, TX 76013-4517
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
010273
TX
Other
Enumeration date
02/01/2007
Last updated
06/17/2010
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