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Organization

HOSPICE OF THE WEST, LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GINA MARIE ANDRES LCSW (MANAGING DIRECTOR)
(949) 282-5948
Entity
Organization

Contact information

Practice address
1950 S LAS VEGAS TRL, WHITE SETTLEMENT, TX 76108-3350
(817) 246-7377
(817) 887-4887
Mailing address
1950 S LAS VEGAS TRL, WHITE SETTLEMENT, TX 76108-3350
(817) 246-7377
(817) 887-4887

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
009414
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009414
TEXAS DAD LICENSE NUMBER
TX
Enumeration date
11/16/2005
Last updated
08/22/2020
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