Provider Demographics
NPI:1184344848
Name:A TREASURE HILLS PALLIATIVE HOSPICE INCORPORATED
Entity type:Organization
Organization Name:A TREASURE HILLS PALLIATIVE HOSPICE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MBAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-818-1912
Mailing Address - Street 1:7814 N COUNTRY SPACE LOOP
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3370
Mailing Address - Country:US
Mailing Address - Phone:281-818-1912
Mailing Address - Fax:
Practice Address - Street 1:7814 N COUNTRY SPACE LOOP
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3370
Practice Address - Country:US
Practice Address - Phone:281-818-1912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based