Provider Demographics
NPI:1649719576
Name:PERFECTION HOSPICE CARE INCORPORATED
Entity type:Organization
Organization Name:PERFECTION HOSPICE CARE INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAUDENSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AWUOR
Authorized Official - Suffix:
Authorized Official - Credentials:NPC-C
Authorized Official - Phone:817-903-7723
Mailing Address - Street 1:407 N CEDAR RIDGE DR
Mailing Address - Street 2:SUITE 237
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-3197
Mailing Address - Country:US
Mailing Address - Phone:682-582-3599
Mailing Address - Fax:877-509-6626
Practice Address - Street 1:2755 FURLONG DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-8391
Practice Address - Country:US
Practice Address - Phone:817-903-7723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-12
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based