Organization
SOUTHERN GRACE HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE OWENS-GIBSON RN, BSN (CEO)
(469) 714-2570
Entity
Organization
Contact information
Practice address
301 S MCDONALD ST # 100A, MCKINNEY, TX 75069-5669
(214) 548-5919
Mailing address
2601 CEDARBROOK LN, PROSPER, TX 75078-8972
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
01/09/2026
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