Southern Legacy Hospice LLC
Hospice Care, Community Based in Magnolia, TX. Organization (NPI-2).
NPI number1760100697
StatusActive
Last updated in NPPESJan 5, 2026
Details
- NPI
- 1760100697
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Legacy Hospice LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2022
- Certification date
- Jan 5, 2026
- Last updated
- Jan 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | – | – | Yes |
| 207QH0002X | Family Medicine, Hospice and Palliative Medicine | – | – |
Practice location
33300 Egypt Ln Ste L800Magnolia, TX 77354-3322
Phone 213-550-7205
Mailing address
33300 Egypt Ln Ste L800Magnolia, TX 77354-3322
Phone 213-550-7205
Authorized official
Sajid H Siddiqui
Adm
2135507205
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