Provider Demographics
NPI:1285002956
Name:ALLY PALLIATIVE AND HOSPICE CARE INC
Entity Type:Organization
Organization Name:ALLY PALLIATIVE AND HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:972-480-4611
Mailing Address - Street 1:625 MANCO RD
Mailing Address - Street 2:APT 120
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3521
Mailing Address - Country:US
Mailing Address - Phone:972-480-4611
Mailing Address - Fax:
Practice Address - Street 1:625 MANCO RD
Practice Address - Street 2:APT 120
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3521
Practice Address - Country:US
Practice Address - Phone:972-480-4611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-10
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based