Provider Demographics
NPI:1477957942
Name:LA MISION PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:LA MISION PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLEDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-329-9787
Mailing Address - Street 1:2205 N SUGAR RD
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-8377
Mailing Address - Country:US
Mailing Address - Phone:956-329-9787
Mailing Address - Fax:956-961-4030
Practice Address - Street 1:2205 N SUGAR RD
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-8377
Practice Address - Country:US
Practice Address - Phone:956-329-9787
Practice Address - Fax:956-961-4030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-13
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based