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Gracefill Home Health Agency INC.

Home Health in San Antonio, TX. Organization (NPI-2).

NPI number1164087284
StatusActive
Last updated in NPPESMay 3, 2019

Details

NPI
1164087284
Entity type
Organization (NPI-2)
Legal business name
Gracefill Home Health Agency INC.
Organization subpart
No
Enumeration date
May 3, 2019
Last updated
May 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

5534 Fredericksburg Rd Apt 152
San Antonio, TX 78229-3582

Phone 210-719-8264 · Fax 210-547-6867

Mailing address

5534 Fredericksburg Rd Apt 152
San Antonio, TX 78229-3582

Phone 210-719-8264 · Fax 210-547-6867

Authorized official

Ekane Henry Ntubeh
Administrator
2107198264

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