Provider Demographics
NPI:1104228840
Name:GRADARK COMPASSION CARE INC.
Entity type:Organization
Organization Name:GRADARK COMPASSION CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-516-1069
Mailing Address - Street 1:1230 CRESTWICK DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4143
Mailing Address - Country:US
Mailing Address - Phone:972-516-1069
Mailing Address - Fax:888-607-7023
Practice Address - Street 1:8330 LBJ FWY
Practice Address - Street 2:STE B340
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1166
Practice Address - Country:US
Practice Address - Phone:972-516-1069
Practice Address - Fax:888-607-7023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based