Organization Name: | GRACELAND HOSPICE AND HOME HEALTH LLC |
NPI Number: | 1891926549 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE HAMILTON (PRESIDENT) |
Mailing Address: | 703 Titus St Gilmer |
State: | TX US |
Postal Code: | 756441738 |
Phone Number: | 9038435529 |
Fax Number: | 9036802175 |
NPI Enumeration Date: | 07/29/2009 |
NPI Last Update Date: | 07/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |