- Enrollment id
- O20120928000058
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1679844120
- Multiple npi flag
- N
- Ccn
- 741697
- Associate id
- 2961651344
- Organization name
- RESK HEALTHCARE LLC
- Doing business as name
- STAR CITY HOSPICE
- Incorporation date
- 2011-10-20
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1701 N COLLINS BLVD
- Address line 2
- STE 110
- City
- RICHARDSON
- State
- TX
- Zip code
- 750803553