Lenity Light Hospice - Dallas, LLC

Organization Active NPI Community Based Hospice Care Agency · Watauga, TX

NPI 1114516705 · NPPES record last updated Oct 17, 2022

Key facts

NPI
1114516705
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
LENITY LIGHT HOSPICE - DALLAS, LLC
Practice address
5802 Watauga Rd
Suite 100
Watauga, TX 76148-3069
Phone
(817) 406-1500
Fax
(817) 928-5692
NPI assigned
Jan 18, 2021
Organization subpart
No

Authorized official

Name
Mrs. Fatin Qutob
Title
Owner
Phone
(972) 854-3424

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1236 Southridge Ct
Ste 200
Hurst, TX 76053
Phone (817) 406-1500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Yes

Addresses

Primary practice location

5802 Watauga Rd
Suite 100
Watauga, TX 76148-3069

Mailing address

3306 Wendover CT
Richardson, TX 75082-3248
Phone (469) 757-1600

Other providers in Watauga, TX

All providers in Watauga, TX · Community Based Hospice Care Agency in Texas

Sources for this page

Verify at the official NPI Registry.