Organization
KEYSTONE HOSPICE CARE, INC.
Active
Other names
Custom Care Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER L TUELLER (SECRETARY)
(208) 207-2726
Entity
Organization
Contact information
Practice address
4811 MERLOT AVE UNIT 110, GRAPEVINE, TX 76051-7389
(972) 242-5959
(214) 320-2683
Mailing address
4811 MERLOT AVE UNIT 110, GRAPEVINE, TX 76051-7389
(972) 242-5959
(214) 320-2683
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
TX
Other
Enumeration date
06/30/2009
Last updated
05/29/2025
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