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Organization

KINGLY HOSPICE CARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAMATHIL CHACKO PHILIP (OWNER/PRESIDENT)
(972) 790-4560
Entity
Organization

Contact information

Practice address
1219 STEWART DR, IRVING, TX 75061-7354
(972) 790-4560
(972) 790-4561
Mailing address
1219 STEWART DR, IRVING, TX 75061-7354
(972) 790-4560
(972) 790-4561

Taxonomy

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

Other

Enumeration date
10/26/2016
Last updated
10/26/2016
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