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Organization
OPTASIA GRACE
Active
Organization
OPTASIA GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEOPAS SIMBI (ADMINISTRATOR)
(214) 229-1962
Entity
Organization
Contact information
Practice address
1908 TRANSCENDENCE DR, WYLIE, TX 75098-0900
(214) 229-1962
Mailing address
1908 TRANSCENDENCE DR, WYLIE, TX 75098-0900
(214) 229-1962
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
06/03/2020
Last updated
10/07/2020
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