| Organization Name: | GRACE OF THE PINES HOSPICE LLC |
| NPI Number: | 1518338227 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE RICHARDS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 646 Jennings Ave Suite 18 Hot Springs |
| State: | SD US |
| Postal Code: | 577471664 |
| Phone Number: | 6057454907 |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2015 |
| NPI Last Update Date: | 04/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |