# GRACE PRESBYTERIAN MINISTRIES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grace Presbyterian Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356332837
- **Authorized official:** MARK EARL RICHARDSON (DIRECTOR HEALTHCARE SERVICES)
- **Authorized official phone:** (214) 226-8068

## Contact information

- **Practice address:** 550 E ANN ARBOR AVE, DALLAS, TX 75216-6718
- **Practice address phone:** (214) 376-1701
- **Mailing address:** 12467 MERIT DR, DALLAS, TX 75251-2344
- **Mailing address phone:** (214) 413-1523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 004284 | TX | Yes |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 05/23/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000428401 | — | TX |