Organization
GRACE HOSPICE OF FORT WORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK BENTON WIED (CEO)
(817) 735-9600
Entity
Organization
Contact information
Practice address
4100 INTERNATIONAL PLZ, SUITE 140, FORT WORTH, TX 76109-4820
(817) 735-9600
(817) 735-4323
Mailing address
4100 INTERNATIONAL PLZ, SUITE 140, FORT WORTH, TX 76109-4820
(817) 735-9600
(817) 735-4323
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
06/08/2017
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