Organization
GRACE CARE PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH MR (OWNER)
(210) 379-4100
Entity
Organization
Contact information
Practice address
12422 WANDERING TRL, SAN ANTONIO, TX 78249-2109
(210) 379-4100
(210) 696-0992
Mailing address
PO BOX 691181, SAN ANTONIO, TX 78269-1181
(210) 379-4100
(210) 696-0992
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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