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NPI Code Detail

MEDICARE: SOLEIL HAVEN HOSPICE LLC

MEDICARE: SOLEIL HAVEN HOSPICE 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
1253Z00000XIn Home Supportive Care Agency
2251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1548900566
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLEIL HAVEN HOSPICE LLC
Provider Business Mailing Address
First Line : 4453 SAVAGE STATION DR
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-1645
Country : US
Telephone Number : 214-400-3710
Fax Number : 214-235-0754
Provider Business Practice Location Address
First Line : 4453 SAVAGE STATION DR FL 1
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-1645
Country : US
Telephone Number : 214-400-3710
Fax Number : 214-235-0754
Authorized Official
Title or Position : CEO
Name : BUNU SUBEDI
Credential :
Telephone Number : 214-400-3710
Provider Enumeration Date : 03/29/2022
Last Update Date : 05/22/2024

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Directions to “SOLEIL HAVEN HOSPICE LLC ” Practice Location

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