Provider Demographics
NPI:1699581637
Name:GRACEFUL LIVING HOSPICES & PALLIATIVE INC
Entity type:Organization
Organization Name:GRACEFUL LIVING HOSPICES & PALLIATIVE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-380-0221
Mailing Address - Street 1:10101 FONDREN RD STE 454
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4680
Mailing Address - Country:US
Mailing Address - Phone:281-380-0221
Mailing Address - Fax:
Practice Address - Street 1:10101 FONDREN RD STE 454
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4680
Practice Address - Country:US
Practice Address - Phone:281-380-0221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based