Abundant Grace Home Care
Home Health in Grand Prairie, TX. Organization (NPI-2).
NPI number1669773875
StatusActive
Last updated in NPPESNov 4, 2010
Details
- NPI
- 1669773875
- Entity type
- Organization (NPI-2)
- Legal business name
- Abundant Grace Home Care
- Organization subpart
- No
- Enumeration date
- Nov 4, 2010
- Last updated
- Nov 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
2307 Oak Ln Ste 106Grand Prairie, TX 75051-8275
Phone 972-266-2709
Mailing address
2307 Oak Ln Ste 106Grand Prairie, TX 75051-8275
Phone 972-266-2709
Authorized official
Beatrice O Feyisetan
Administrator
9722662709
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