Provider Demographics
NPI:1033880075
Name:PEACEFUL HOPE HOSPICE AND PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:PEACEFUL HOPE HOSPICE AND PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P/ADMIN/DON
Authorized Official - Prefix:
Authorized Official - First Name:PEACE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKIENYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-866-9270
Mailing Address - Street 1:621 AVENUE G
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-3901
Mailing Address - Country:US
Mailing Address - Phone:214-866-9270
Mailing Address - Fax:
Practice Address - Street 1:621 AVENUE G
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-3901
Practice Address - Country:US
Practice Address - Phone:214-866-9270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based