Organization
GRACE HOSPICE OF EAST TEXAS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK B WIED (CEO)
(903) 747-3990
Entity
Organization
Contact information
Practice address
3324 S KEATON AVE, TYLER, TX 75701-9055
(903) 747-3990
(817) 735-4323
Mailing address
4100 INTERNATIONAL PLZ, FORT WORTH, TX 76109-4820
(903) 747-3990
(817) 735-4323
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/09/2012
Last updated
06/08/2017
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