Organization
GRACEFUL HEART HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIBU SAMUEL (CEO/ADMINISTRATOR)
(214) 394-6821
Entity
Organization
Contact information
Practice address
4402 BROADWAY BLVD STE 14F, GARLAND, TX 75043-8263
(214) 394-6821
(214) 593-3235
Mailing address
3671 BROADWAY BLVD, STE 500-B3, GARLAND, TX 75043
(214) 394-6821
(214) 593-3235
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
12/23/2024
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