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NPI Code Detail

MEDICARE: HOSPICE HEARTS LLC

MEDICARE: HOSPICE HEARTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1235483314
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE HEARTS LLC
Provider Business Mailing Address
First Line : 1513 VICEROY DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-2303
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1513 VICEROY DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-2303
Country : US
Telephone Number : 214-636-2651
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LIHSIN GAINES
Credential :
Telephone Number : 214-636-2651
Provider Enumeration Date : 10/29/2012
Last Update Date : 10/29/2012

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Directions to “HOSPICE HEARTS LLC ” Practice Location

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