Organization · NPI-2

Amazing Grace Over Texas INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · San Antonio, TX

NPI number1629539101

StatusActive

Last updated in NPPESMar 27, 2019

Details

NPI: 1629539101
Entity type: Organization (NPI-2)
Legal business name: Amazing Grace Over Texas INC.
Organization subpart: No
Enumeration date: Mar 27, 2019
Last updated: Mar 27, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes
251B00000X	Case Management	–	–
251J00000X	Nursing Care	–	–

Practice location

7807 Sun Frst
San Antonio, TX 78239-3224

Phone 210-527-9644

Mailing address

7807 Sun Frst
San Antonio, TX 78239-3224

Phone 210-527-9644

Authorized official

Inda Green
Owner
2105279644

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