Organization
GRACE PHC SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA SOLIS (CEO)
(956) 212-7216
Entity
Organization
Contact information
Practice address
108 N LUPE STE B, RIO GRANDE CITY, TX 78582-9552
(956) 212-7216
Mailing address
108 N LUPE STE B, RIO GRANDE CITY, TX 78582-9552
(956) 212-7216
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
09/22/2023
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