- Enrollment id
- O20170823002389
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1558711333
- Multiple npi flag
- N
- Ccn
- 741791
- Associate id
- 1052683265
- Organization name
- ALLIED HOSPICE & PALLIATIVE CARE INCORPORATED
- Doing business as name
- ALLIED HOSPICE
- Incorporation date
- 2016-09-12
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 12808 W AIRPORT BLVD
- Address line 2
- STE 375
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774786188