Grace Residential Enterprises
Intermediate Care Facility, Intellectual Disabilities in Abilene, TX. Organization (NPI-2).
NPI number1093928533
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1093928533
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace Residential Enterprises
- Organization subpart
- No
- Enumeration date
- May 8, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 116790 | TX | Yes |
Other names
- Lea Farms Residence (Doing Business As)
Practice location
1318 Piedmont DrAbilene, TX 79601-5552
Phone 325-673-3397 · Fax 325-673-3397
Mailing address
1318 Piedmont DrAbilene, TX 79601-5552
Phone 325-673-3397 · Fax 325-673-3397
Authorized official
Jeanene P Strickland
Ceo
3256733397
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