Organization
GRACE THERAPEUTIC HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ICILDA G EDWARDS LVN (OWNER/OPERATOR)
(254) 245-9592
Entity
Organization
Contact information
Practice address
1206 W JASPER DR, A, KILLEEN, TX 76549-1253
(254) 245-9592
(254) 245-9557
Mailing address
1206 JASPER RD., SUITE A, KILLEEN, TX 76549-2103
(254) 245-9592
(254) 245-9557
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
015594
TX
Other
Enumeration date
09/15/2011
Last updated
05/05/2015
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