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Organization
SHIELD OF GRACE HHC, LLC
Active
Organization
SHIELD OF GRACE HHC, LLC
Active
Other names
SHIELD OF GRACE HOME HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSVALDO RICK TERRAZAS (ADMINISTRATOR)
(915) 592-4000
Entity
Organization
Contact information
Practice address
11395 JAMES WATT A-11, 11395 JAMES WATT SUITE A-11, EL PASO, TX 79936
(915) 592-4000
(915) 633-9855
Mailing address
11395 JAMES WATT A-11, 11395 JAMES WATT SUITE A-11, EL PASO, TX 79936
(915) 592-4000
(915) 633-9855
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/25/2014
Last updated
09/24/2018
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