Organization
LIFEWAY HOSPICE, LLC
Active
Other names
Lifeway Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
BRANNON WILTSE (ADMINISTRATOR)
(972) 807-2670
Entity
Organization
Contact information
Practice address
4040 STATE HIGHWAY 121, SUITE 140, CARROLLTON, TX 75010
(972) 807-2670
(972) 767-0010
Mailing address
4040 STATE HIGHWAY 121, SUITE 140, CARROLLTON, TX 75010
(972) 807-2670
(972) 767-0010
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
01/05/2018
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