- Enrollment id
- O20150717000139
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1770988198
- Multiple npi flag
- N
- Ccn
- 741597
- Associate id
- 8426361643
- Organization name
- DELTA HOSPICE LLC
- Incorporation date
- 2014-09-05
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2245 VALWOOD PKWY
- City
- FARMERS BRANCH
- State
- TX
- Zip code
- 752343407