- Enrollment id
- O20101109000933
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1326362526
- Multiple npi flag
- N
- Ccn
- 741529
- Associate id
- 4183819709
- Organization name
- HEBRON HOME HEALTH AND HOSPICE LLC
- Doing business as name
- DIGNITY HOSPICE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1701 N COLLINS BLVD
- Address line 2
- STE 2100
- City
- RICHARDSON
- State
- TX
- Zip code
- 750803785