Provider Demographics
NPI:1689206872
Name:PREMIER PALLIATIVE & HOSPICE CARE INCORPORATED
Entity Type:Organization
Organization Name:PREMIER PALLIATIVE & HOSPICE CARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KWAME-ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-813-4718
Mailing Address - Street 1:23822 INDIAN HILLS WAY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2879
Mailing Address - Country:US
Mailing Address - Phone:832-577-7580
Mailing Address - Fax:832-451-6906
Practice Address - Street 1:23822 INDIAN HILLS WAY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2879
Practice Address - Country:US
Practice Address - Phone:832-577-7580
Practice Address - Fax:832-451-6906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Single Specialty