Organization
GRACE HOSPICE OF FORT WORTH LLC
Active
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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