- Enrollment id
- O20150709003030
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1619397932
- Multiple npi flag
- N
- Ccn
- 741690
- Associate id
- 2961714514
- Organization name
- SAINT CATHERINE HOSPICE INC
- Incorporation date
- 2014-05-12
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4229 GLENHAVEN DR
- City
- GARLAND
- State
- TX
- Zip code
- 750426120