Organization
AMAZING GRACE ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM CRIDER (PRESIDENT/OWNER)
(505) 796-4900
Entity
Organization
Contact information
Practice address
103 RIO RANCHO DR NE, SUITE A-2, RIO RANCHO, NM 87124-1439
(505) 796-4900
(505) 896-4515
Mailing address
103 RIO RANCHO DR NE, SUITE A-2, RIO RANCHO, NM 87124-1439
(505) 796-4900
(505) 896-4515
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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