Organization
GODSGRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABIOLA HAMMED ODU (OWNER)
(469) 254-5166
Entity
Organization
Contact information
Practice address
3610 W PIONEER PKWY STE 103, PANTEGO, TX 76013-4502
(469) 254-5166
Mailing address
2212 E PARK ROW DR APT L, ARLINGTON, TX 76010-4816
(469) 254-5166
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
172A00000X
Driver
—
—
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/08/2023
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