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Organization

GRACE PROVIDER SERVICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL OKENDU (ADMINISTRATOR)
(713) 261-0754
Entity
Organization

Contact information

Practice address
11200 WESTHEIMER RD STE 1050, HOUSTON, TX 77042-3234
(713) 261-0754
(281) 988-5391
Mailing address
11200 WESTHEIMER RD STE 1050, HOUSTON, TX 77042-3234
(713) 261-0754
(281) 988-5391

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
12/13/2016
Last updated
04/09/2020
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