Provider Demographics
NPI:1275708984
Name:GREATER VALLEY HOSPICE ALLIANCE LP
Entity Type:Organization
Organization Name:GREATER VALLEY HOSPICE ALLIANCE LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-529-0800
Mailing Address - Street 1:85 NE LOOP 410
Mailing Address - Street 2:SUITE 607
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-5829
Mailing Address - Country:US
Mailing Address - Phone:210-878-3343
Mailing Address - Fax:
Practice Address - Street 1:605 MACO DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8799
Practice Address - Country:US
Practice Address - Phone:956-541-6100
Practice Address - Fax:956-541-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based