Trio Hospice - Rural, Inc

Organization Active NPI In Home Supportive Care Agency · Mathis, TX

NPI 1962816934 · NPPES record last updated Jun 17, 2014

Key facts

NPI
1962816934
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
TRIO HOSPICE - RURAL, INC
Practice address
304 E San Patricio Ave
Mathis, TX 78368-2350
Phone
(361) 779-5456
Fax
(361) 991-0181
NPI assigned
Jun 17, 2014
Organization subpart
No

Authorized official

Name
Haitham Jifi Bahlool, MD
Title
President
Phone
(361) 779-5456

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Prtrio Hospice - Rural Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

304 E San Patricio Ave
Mathis, TX 78368-2350

Mailing address

5920 Saratoga Blvd
Suite 420
Corpus Christi, TX 78414-4103
Phone (361) 779-5456

Other providers in Mathis, TX

All providers in Mathis, TX · In Home Supportive Care Agency in Texas

Sources for this page

Verify at the official NPI Registry.