Provider Demographics
NPI:1689210643
Name:ASTONISHING APPRECIATION PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:ASTONISHING APPRECIATION PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR OF NURSING
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 1:614 TREES CT
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-5027
Mailing Address - Country:US
Mailing Address - Phone:214-435-1683
Mailing Address - Fax:972-637-3476
Practice Address - Street 1:614 TREES CT
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-5027
Practice Address - Country:US
Practice Address - Phone:214-435-1683
Practice Address - Fax:972-637-3476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based