Organization
BRENTWOOD HOSPICE, LLC
Active
Organization
BRENTWOOD HOSPICE, LLC
Active
Other names
Magnolia Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A CALLOWAY RN (VP OPERATIONS)
(903) 681-7406
Entity
Organization
Contact information
Practice address
1250 E COPELAND RD STE 260, ARLINGTON, TX 76011-1345
(214) 275-6200
Mailing address
600 E WHALEY ST, LONGVIEW, TX 75601-6525
(903) 230-7670
(903) 230-7696
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
010526
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015314
—
TX
Enumeration date
10/12/2006
Last updated
01/03/2019
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