Organization
INTERDISCIPLINARY HOSPICE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY KING (ALTER ADMINISTRATOR)
(214) 912-0807
Entity
Organization
Contact information
Practice address
1102 TANGLEWOOD DR, MANSFIELD, TX 76063-2802
(214) 435-1683
Mailing address
1102 TANGLEWOOD DR, MANSFIELD, TX 76063-2802
(214) 435-1683
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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