Provider Demographics
NPI:1407894181
Name:IYA E EDWARDS
Entity Type:Organization
Organization Name:IYA E EDWARDS
Other - Org Name:GUARANTEED HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IYA
Authorized Official - Middle Name:E
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-342-9000
Mailing Address - Street 1:PO BOX 515422
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-5422
Mailing Address - Country:US
Mailing Address - Phone:214-342-9000
Mailing Address - Fax:214-342-9003
Practice Address - Street 1:9304 FOREST LN
Practice Address - Street 2:SUITE 164N
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6238
Practice Address - Country:US
Practice Address - Phone:214-342-9000
Practice Address - Fax:214-342-9003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based