- Enrollment id
- O20090616000786
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1306884770
- Multiple npi flag
- N
- Ccn
- 451688
- Associate id
- 1456401207
- Organization name
- SOLARIS HOSPICE, INC.
- Incorporation date
- 2003-10-20
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2200 S FM 51
- Address line 2
- STE 200
- City
- DECATUR
- State
- TX
- Zip code
- 762344095