Amazing Grace Care Group Home LLC
Assisted Living Facility in Desoto, TX. Organization (NPI-2).
NPI number1649095365
StatusActive
Last updated in NPPESNov 18, 2024
Details
- NPI
- 1649095365
- Entity type
- Organization (NPI-2)
- Legal business name
- Amazing Grace Care Group Home LLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2024
- Certification date
- Nov 15, 2024
- Last updated
- Nov 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – |
Practice location
1001 Hillcrest DriveDesoto, TX 75115
Phone 214-701-5862
Mailing address
1001 Hillcrest DriveDesoto, TX 75115
Phone 214-701-5862
Authorized official
Alain Ngam
Administrator
2147015862
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