| NPI | 1992076608 |
|---|---|
| Former Legal Business Name | GRACE HOSPICE CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | TINA THULL Owner 262-735-4297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2013-08-14 |