# GRACE PROVIDER SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184168908
- **Authorized official:** MICHAEL OKENDU (ADMINISTRATOR)
- **Authorized official phone:** (713) 261-0754

## Contact information

- **Practice address:** 11200 WESTHEIMER RD STE 1050, HOUSTON, TX 77042-3234
- **Practice address phone:** (713) 261-0754
- **Practice address fax:** (281) 988-5391
- **Mailing address:** 11200 WESTHEIMER RD STE 1050, HOUSTON, TX 77042-3234
- **Mailing address phone:** (713) 261-0754
- **Mailing address fax:** (281) 988-5391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2016
- **Last updated:** 04/09/2020