- Enrollment id
- O20181119001728
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1285137943
- Multiple npi flag
- N
- Ccn
- 971584
- Associate id
- 1355695974
- Organization name
- MAXIMUM QUALITY HOSPICE LLC
- Incorporation date
- 2018-03-09
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1609 DAVENPORT ST
- Address line 2
- STE D
- City
- WESLACO
- State
- TX
- Zip code
- 785966543