Organization
SOLEMNITY HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI COOPER (ADMIN/SUP NURSE)
(214) 543-6341
Entity
Organization
Contact information
Practice address
520 CENTRAL PKWY E STE 220, PLANO, TX 75074-5584
(469) 626-0041
Mailing address
520 CENTRAL PKWY E STE 220, PLANO, TX 75074-5584
(469) 626-0041
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
—
—
163WA2000X
Administrator Registered Nurse
—
—
163WH1000X
Hospice Registered Nurse
Primary
—
—
164X00000X
Licensed Vocational Nurse
—
—
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/25/2021
Last updated
01/31/2021
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