Organization
A HOSPICE BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L KING (ADMINISTRATOR)
(214) 435-1683
Entity
Organization
Contact information
Practice address
4823 BISMARK DR, DALLAS, TX 75216-7712
(214) 789-4038
(877) 257-3774
Mailing address
4823 BISMARK DR, DALLAS, TX 75216-7712
(214) 789-4038
(877) 257-3774
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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