Organization
ETHICUS HOSPITAL DFW LLC
Active
Parent organization
ETHICUS HOSPITAL GRAPEVINE LP
Other names
Sagecrest Hospital Grapevine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ETHICUS HOSPITAL GRAPEVINE LP
Authorized official
MR. JORDAN FOWLER (CEO)
(817) 288-1300
Entity
Organization
Contact information
Practice address
4201 WILLIAM D TATE AVE, GRAPEVINE, TX 76051-5736
(817) 288-1300
(817) 288-1499
Mailing address
4201 WILLIAM D TATE AVE, GRAPEVINE, TX 76051-5736
(817) 288-1300
(817) 288-1499
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
008742
TX
Other
Enumeration date
07/25/2008
Last updated
10/22/2019
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