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Organization

GRACE HOSPICE, LLC

Active
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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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