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Organization
AMAZING GRACE PERSONAL CARE SERVICE, INC
Active
Organization
AMAZING GRACE PERSONAL CARE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM CRIDER M. DIV (OWNER)
(505) 796-4900
Entity
Organization
Contact information
Practice address
4131 BARBARA LOOP SE # 2D, RIO RANCHO, NM 87124-1362
(505) 796-4900
(505) 896-4513
Mailing address
4131 BARBARA LOOP SE # 2D, RIO RANCHO, NM 87124-1362
(505) 863-5898
(505) 896-4513
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62985736
—
NM
Enumeration date
05/15/2007
Last updated
09/27/2024
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