- Enrollment id
- O20220725000767
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1407426109
- Multiple npi flag
- N
- Ccn
- A91671
- Associate id
- 9739560624
- Organization name
- SAVANNAH HOSPICE AND PALLIATIVE CARE INC.
- Incorporation date
- 2021-04-21
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1505 HIGHWAY 6 S
- Address line 2
- STE 215
- City
- HOUSTON
- State
- TX
- Zip code
- 770771700