Grace Residential Enterprises

NPI 1093928533 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1093928533
Enumeration Date 05/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEANENE P JEANENE
Position CEO
Phone (325) 673-3397
Fax (325) 673-3397
Practice Location
1318 PIEDMONT DR
ABILENE TX, 79601-5552, US
Phone (325) 673-3397
Fax (325) 673-3397
Business Location
1318 PIEDMONT DR
ABILENE TX, 79601-5552, US
Phone (325) 673-3397
Fax (325) 673-3397
Toxanomy
Taxonomy Code 315P00000X
License State Texas
License Number 116790
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According to our database, Grace Residential Enterprises NPI is 1093928533, taxonomy code is 315P00000X and license number is 116790, license state is located at Texas. Grace Residential Enterprises physically located at 1318 Piedmont Dr, Abilene TX, 79601-5552. NPI Number 1033115704 has the healthcare provider type.

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1093928533 NPI number is provided on an as is basis without warranty of any kind. 1093928533 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Residential Enterprises are for informational purposes only.