Organization
EXTENDED GRACE HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREETHI ABRAHAM (DIRECTOR OF CLIENT SERVICES)
(817) 576-2408
Entity
Organization
Contact information
Practice address
1605 BRANCHVIEW CT, KELLER, TX 76248-6833
(817) 576-2408
(817) 916-8802
Mailing address
8528 DAVIS BLVD # 134-208, NORTH RICHLAND HILLS, TX 76182-8367
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/11/2013
Last updated
04/21/2014
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