Provider Demographics
NPI:1922684059
Name:PDSF HOSPICE & PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:PDSF HOSPICE & PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:ANOMNEZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-695-4037
Mailing Address - Street 1:1205 FOXTAIL DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-2327
Mailing Address - Country:US
Mailing Address - Phone:361-695-4037
Mailing Address - Fax:866-719-5470
Practice Address - Street 1:1205 FOXTAIL DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-2327
Practice Address - Country:US
Practice Address - Phone:361-695-4037
Practice Address - Fax:866-719-5470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based