Provider Demographics
NPI:1891201182
Name:ARABELLA PALLIATIVE & HOSPICE CARE, LLC
Entity type:Organization
Organization Name:ARABELLA PALLIATIVE & HOSPICE CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEVA
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:214-334-6395
Mailing Address - Street 1:309 S. JUPITER RD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-3052
Mailing Address - Country:US
Mailing Address - Phone:469-545-1995
Mailing Address - Fax:214-785-7195
Practice Address - Street 1:309 S. JUPITER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-3052
Practice Address - Country:US
Practice Address - Phone:469-545-1995
Practice Address - Fax:214-785-7195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-21
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based