Organization
GRACIOUSCARE HOSPICE, LLC
Active
Other names
Gracious Care Hospice, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREEA BENEA (REPRESENTATIVE)
(503) 893-9866
Entity
Organization
Contact information
Practice address
8196 SW HALL BLVD STE 101, BEAVERTON, OR 97008-4676
(503) 989-1588
Mailing address
8196 SW HALL BLVD STE 101, BEAVERTON, OR 97008-4676
(503) 893-9866
(866) 844-0277
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16-1083
—
OR
Enumeration date
08/07/2020
Last updated
06/21/2021
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