Organization
GOODWIN HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KLEBERG (VP OF LEGAL AFFAIRS)
(704) 664-2876
Entity
Organization
Contact information
Practice address
3100 MCKINNON STREET, SUITE 200, DALLAS, TX 75201-1010
(214) 342-0001
(214) 343-2900
Mailing address
655 BRAWLEY SCHOOL RD, SUITE 200, MOORESVILLE, NC 28117-9125
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
012332
TX
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001017039
—
TX
01
—
486697
JOINT COMMISSION
—
Enumeration date
07/01/2006
Last updated
05/16/2016
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