Organization
PEACE VALLEY HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE ABRAHAM (DIRECTOR OF NURSING)
(972) 639-7956
Entity
Organization
Contact information
Practice address
4541 N JOSEY LN STE 110, CARROLLTON, TX 75010-4622
(979) 358-0435
Mailing address
4541 N JOSEY LN STE 110, CARROLLTON, TX 75010-4622
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019821
TEXAS HOSPICE LICENSE
TX
Enumeration date
08/06/2019
Last updated
03/14/2021
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