Provider Demographics
NPI:1235704396
Name:A VISION OF HOPE PALLIAITIVE LLC
Entity Type:Organization
Organization Name:A VISION OF HOPE PALLIAITIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-435-1683
Mailing Address - Street 1:4040 COTTAGE PARK CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-8087
Mailing Address - Country:US
Mailing Address - Phone:855-664-6774
Mailing Address - Fax:
Practice Address - Street 1:4040 COTTAGE PARK CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-8087
Practice Address - Country:US
Practice Address - Phone:855-664-6774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based