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Organization

GRACE COVENANT HOME HEALTH CARE OF TEXAS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OMONOH EHI (OWNER)
(817) 374-7012
Entity
Organization

Contact information

Practice address
3746 OAK MEADOW DR, GRAND PRAIRIE, TX 75052-6506
(817) 374-7012
Mailing address
PO BOX 542411, GRAND PRAIRIE, TX 75054-2411
(817) 374-7012

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
05/07/2025
Last updated
05/07/2025
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