Organization
GRACE HOSPICE, LLC
Active
Other names
Grace Hospice, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK B WIED (CEO)
(972) 424-3454
Entity
Organization
Contact information
Practice address
730 AVENUE F, STE 200, PLANO, TX 75074-6752
(972) 424-3454
(972) 424-3054
Mailing address
730 AVENUE F, STE 200, PLANO, TX 75074-6752
(972) 424-3454
(972) 424-3054
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
009334
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004614
—
TX
Enumeration date
06/13/2005
Last updated
06/08/2017
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