Grace Therapeutic Homes, Llc

NPI 1013299031 - Home Health - 251E00000X

NPI Details
NPI 1013299031
Enumeration Date 09/15/2011
Last Updated 05/05/2015
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ICILDA G ICILDA
Position OWNER/OPERATOR
Phone (254) 245-9592
Fax (254) 245-9557
Practice Location
1206 W JASPER DR
A
KILLEEN TX, 76549-1253, US
Phone (254) 245-9592
Fax (254) 245-9557
Business Location
1206 JASPER RD.
SUITE A
KILLEEN TX, 76549-2103, US
Phone (254) 245-9592
Fax (254) 245-9557
Toxanomy
Taxonomy Code 251E00000X
License State Texas
License Number 015594
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According to our database, Grace Therapeutic Homes, Llc NPI is 1013299031, taxonomy code is 251E00000X and license number is 015594, license state is located at Texas. Grace Therapeutic Homes, Llc physically located at 1206 W Jasper Dr, Killeen TX, 76549-1253. NPI Number 1033115704 has the healthcare provider type.

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1013299031 NPI number is provided on an as is basis without warranty of any kind. 1013299031 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Therapeutic Homes, Llc are for informational purposes only.