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  • 671713
CCN: 671713 NPI: 1770873895 Organization

AT HOME WITH BLUE BONNET HOSPICE

12111 RANCH ROAD 12 STE 114
WIMBERLEY, TX 786765245

Contact Information

  • Phone 5125378950
  • Fax 8666167615
  • Enumeration Date 2011-04-11
  • Last Updated 2025-08-25

Taxonomies

  • Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 12420
providerType 35
censusDivision 7
cbsaActualGeographicLocation 12420
providerType 35
censusDivision 7
cbsaActualGeographicLocation 12420
providerType 35
censusDivision 7
cbsaActualGeographicLocation 12420
providerType 35
censusDivision 7
cbsaActualGeographicLocation 12420
providerType 35
censusDivision 7
cbsaActualGeographicLocation 12420
providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 12420
providerType 35
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 12420
providerType 35
specialPaymentIndicator
carrierCode 04412
localityCode 99

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