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Organization
GRACE PRESBYTERIAN MINISTRIES, INC.
Active
Organization
GRACE PRESBYTERIAN MINISTRIES, INC.
Active
Other names
Grace Presbyterian Village
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EARL RICHARDSON (DIRECTOR HEALTHCARE SERVICES)
(214) 226-8068
Entity
Organization
Contact information
Practice address
550 E ANN ARBOR AVE, DALLAS, TX 75216-6718
(214) 376-1701
Mailing address
12467 MERIT DR, DALLAS, TX 75251-2344
(214) 413-1523
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000428401
—
TX
Enumeration date
11/02/2005
Last updated
05/23/2019
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