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Organization

GARDENDALE HOSPICE LLC

Active
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Organization

GARDENDALE HOSPICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESUS MANUEL BARRAGAN ADMINISTRATOR (CEO / PRESIDENT & ADMINISTRATOR)
(214) 357-9200
Entity
Organization

Contact information

Practice address
4101 MCEWEN RD STE 260, DALLAS, TX 75244-5112
(214) 357-9200
(214) 357-9202
Mailing address
4101 MCEWEN RD STE 260, FARMERS BRANCH, TX 75244-5112
(214) 357-9200
(214) 357-9202

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
11204
TX

Other

Enumeration date
04/03/2007
Last updated
03/17/2018
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