- Enrollment id
- O20220718002940
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1427628429
- Multiple npi flag
- N
- Ccn
- A91511
- Associate id
- 5597146886
- Organization name
- DN PALLIATIVE HOSPICE LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 11104 W AIRPORT BLVD
- Address line 2
- STE 115
- City
- STAFFORD
- State
- TX
- Zip code
- 774773016