| Organization Name: | HOSPICE HOLDINGS DFW LLC |
| NPI Number: | 1255738928 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID GLICK (MANAGER) |
| Mailing Address: | 3509 Hulen St Suite 116 Fort Worth |
| State: | TX US |
| Postal Code: | 761076862 |
| Phone Number: | 8558154227 |
| Fax Number: | 7323842311 |
| NPI Enumeration Date: | 11/24/2014 |
| NPI Last Update Date: | 01/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 016699 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |