Provider Demographics
NPI:1306203898
Name:A LOVING COMFORT HOSPICE, LLC
Entity type:Organization
Organization Name:A LOVING COMFORT HOSPICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-460-1766
Mailing Address - Street 1:2112 S SHARY RD
Mailing Address - Street 2:SUITE 45
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-0009
Mailing Address - Country:US
Mailing Address - Phone:956-460-1766
Mailing Address - Fax:
Practice Address - Street 1:2112 S SHARY RD
Practice Address - Street 2:SUITE 45
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-0009
Practice Address - Country:US
Practice Address - Phone:956-460-1766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based