Organization
KMS HEALTH INC
Active
Other names
Bristol Hospice - Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX E MAURICIO (PRESIDENT)
(801) 325-0175
Entity
Organization
Contact information
Practice address
16901 DALLAS PKWY STE 114, ADDISON, TX 75001-5218
(214) 221-9216
(214) 221-9262
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
(801) 325-0175
(801) 478-3533
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032070
—
TX
Enumeration date
06/12/2007
Last updated
09/07/2023
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