Provider Demographics
NPI:1407361264
Name:AMICABLE PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:AMICABLE PALLIATIVE CARE LLC
Other - Org Name:AMICABLE PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NDUDIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-964-9785
Mailing Address - Street 1:1123 ARUM
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-2356
Mailing Address - Country:US
Mailing Address - Phone:281-964-9785
Mailing Address - Fax:
Practice Address - Street 1:1123 ARUM
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2356
Practice Address - Country:US
Practice Address - Phone:281-964-9785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-02
Last Update Date:2017-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based