Provider Demographics
NPI:1558938035
Name:OAK RIVER HOSPICE INC
Entity Type:Organization
Organization Name:OAK RIVER HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:EMERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-535-6402
Mailing Address - Street 1:1601 MAIN ST STE 1600
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3247
Mailing Address - Country:US
Mailing Address - Phone:832-535-6402
Mailing Address - Fax:877-596-2233
Practice Address - Street 1:1601 MAIN ST STE 1600
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3247
Practice Address - Country:US
Practice Address - Phone:832-535-6402
Practice Address - Fax:877-596-2233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based