Provider Demographics
NPI:1508316688
Name:WILCARE HOSPICE LLC
Entity Type:Organization
Organization Name:WILCARE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:SUJA
Authorized Official - Middle Name:
Authorized Official - Last Name:KURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS,MBA
Authorized Official - Phone:214-584-7077
Mailing Address - Street 1:551 BROADWAY CMNS
Mailing Address - Street 2:STE400 RM101A
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-5833
Mailing Address - Country:US
Mailing Address - Phone:214-584-7077
Mailing Address - Fax:
Practice Address - Street 1:551 BROADWAY CMNS
Practice Address - Street 2:STE400 RM101A
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-5833
Practice Address - Country:US
Practice Address - Phone:214-584-7077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based