Provider Demographics
NPI:1598377160
Name:CITIZENS PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:CITIZENS PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:ORAN
Authorized Official - Last Name:EGBUCHUNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-724-2622
Mailing Address - Street 1:11965 BISSONNET ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-1464
Mailing Address - Country:US
Mailing Address - Phone:713-724-1168
Mailing Address - Fax:
Practice Address - Street 1:11965 BISSONNET ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1464
Practice Address - Country:US
Practice Address - Phone:713-724-1168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based