# THE GRANDSON LLC

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

## Provider details

- **NPI number:** 1235899329
- **Authorized official:** BRETT COX (ADMINISTRATOR)
- **Authorized official phone:** (254) 242-0772

## Contact information

- **Practice address:** 6500 HORIZON CIR, WACO, TX 76712-6985
- **Practice address phone:** (254) 242-0772
- **Mailing address:** 6500 HORIZON CIR, WACO, TX 76712-6985

## Taxonomy

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

## Other

- **Enumeration date:** 12/30/2021
- **Last updated:** 12/30/2021