Organization
DIVINITY HOSPICE, LLC
Active
Other names
Divinity Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN ELWESS (CFO)
(817) 438-7463
Entity
Organization
Contact information
Practice address
5601 BRIDGE ST STE 504, FORT WORTH, TX 76112-2352
(817) 438-7463
(817) 438-7464
Mailing address
5601 BRIDGE ST STE 504, FORT WORTH, TX 76112-2352
(817) 438-7463
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001032677
—
TX
Enumeration date
10/08/2019
Last updated
08/17/2023
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