Provider Demographics
NPI:1851573638
Name:CEVIN HOSPICE
Entity Type:Organization
Organization Name:CEVIN HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSIST. ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:UZOMA
Authorized Official - Middle Name:JOSIAH
Authorized Official - Last Name:DURU
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA/MARKETING
Authorized Official - Phone:469-363-7574
Mailing Address - Street 1:800 E ALEXANDER LN
Mailing Address - Street 2:LANE
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-8950
Mailing Address - Country:US
Mailing Address - Phone:469-363-7574
Mailing Address - Fax:817-540-9552
Practice Address - Street 1:800 E ALEXANDER LN
Practice Address - Street 2:LANE
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-8950
Practice Address - Country:US
Practice Address - Phone:469-363-7574
Practice Address - Fax:817-540-9552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based